Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.39 / $61.79 / $72.70	Facility	26	$17.39	$61.79	$72.70
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $32.15 / $93.65 / $130.78	Facility	TC	$32.15	$93.65	$130.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $46.19 / $236.00	Professional		$33.86	$46.19	$236.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.50 / $17.39 / $52.51	Professional	26	$12.50	$17.39	$52.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.36 / $28.79 / $71.66	Professional	TC	$21.36	$28.79	$71.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $68.36 / $80.43	Professional		$41.96	$68.36	$80.43
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.57 / $25.95 / $30.79	Professional	26	$12.57	$25.95	$30.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.39 / $43.91 / $52.80	Professional	TC	$29.39	$43.91	$52.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.55 / $64.42 / $104.39	Professional		$49.55	$64.42	$104.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.51 / $21.85 / $35.71	Professional	26	$16.51	$21.85	$35.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.64 / $40.85 / $70.00	Professional	TC	$30.64	$40.85	$70.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $43.23 / $53.60 / $63.78	Professional		$43.23	$53.60	$63.78
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $14.42 / $16.71 / $30.69	Professional	26	$14.42	$16.71	$30.69
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $24.51 / $36.65 / $62.66	Professional	TC	$24.51	$36.65	$62.66
Health New England Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $23.58 / $73.61	Professional		$21.45	$23.58	$73.61
United Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $63.66 / $99.14	Professional		$37.40	$63.66	$99.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.11 / $22.79 / $35.00	Professional	26	$14.11	$22.79	$35.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.98 / $41.77 / $65.31	Professional	TC	$25.98	$41.77	$65.31