Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.64 / $96.75 / $426.48	Facility		$53.64	$96.75	$426.48
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.71 / $42.05 / $58.90	Facility	26	$11.71	$42.05	$58.90
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $45.27 / $84.40 / $273.73	Facility	TC	$45.27	$84.40	$273.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.68 / $43.84 / $174.00	Professional		$24.68	$43.84	$174.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $16.95 / $55.00	Professional	26	$8.36	$16.95	$55.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.30 / $28.35 / $119.00	Professional	TC	$16.30	$28.35	$119.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.29 / $52.11 / $81.06	Facility		$38.29	$52.11	$81.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.63 / $49.86 / $59.36	Professional		$30.63	$49.86	$59.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $17.50 / $20.76	Professional	26	$9.02	$17.50	$20.76
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.68 / $33.54 / $40.33	Professional	TC	$21.68	$33.54	$40.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.25 / $93.05 / $147.08	Facility		$61.25	$93.05	$147.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $46.82 / $76.18	Professional		$36.27	$46.82	$76.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.80 / $14.80 / $24.03	Professional	26	$11.80	$14.80	$24.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.47 / $31.22 / $52.69	Professional	TC	$23.47	$31.22	$52.69
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $39.11 / $47.21	Professional		$31.54	$39.11	$47.21
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $9.66 / $11.79 / $21.58	Professional	26	$9.66	$11.79	$21.58
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $18.72 / $27.61 / $47.12	Professional	TC	$18.72	$27.61	$47.12
Health New England Facility/Professional Facility Modifier Low / Median / High Price $100.50 / $242.84 / $261.95	Facility		$100.50	$242.84	$261.95
Health New England Facility/Professional Professional Modifier Low / Median / High Price $15.10 / $30.37 / $70.02	Professional		$15.10	$30.37	$70.02
United Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $47.15 / $72.41	Professional		$28.88	$47.15	$72.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.84 / $15.42 / $23.52	Professional	26	$9.84	$15.42	$23.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.60 / $32.04 / $56.86	Professional	TC	$19.60	$32.04	$56.86