Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.72 / $47.13 / $62.95	Facility	26	$14.72	$47.13	$62.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.01 / $57.72 / $210.00	Professional		$29.01	$57.72	$210.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.27 / $15.31 / $46.10	Professional	26	$10.27	$15.31	$46.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.78 / $31.08 / $135.00	Professional	TC	$18.78	$31.08	$135.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.59 / $62.44 / $77.52	Professional		$39.59	$62.44	$77.52
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.93 / $19.07 / $24.17	Professional	26	$11.93	$19.07	$24.17
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.67 / $42.74 / $51.88	Professional	TC	$27.67	$42.74	$51.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.58 / $63.92 / $107.08	Professional		$50.58	$63.92	$107.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.15 / $18.50 / $32.57	Professional	26	$15.15	$18.50	$32.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.81 / $44.67 / $75.81	Professional	TC	$34.81	$44.67	$75.81
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $41.44 / $50.86 / $64.05	Professional		$41.44	$50.86	$64.05
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $12.19 / $15.58 / $28.58	Professional	26	$12.19	$15.58	$28.58
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $27.91 / $35.47 / $60.63	Professional	TC	$27.91	$35.47	$60.63
Health New England Facility/Professional Professional Modifier Low / Median / High Price $19.43 / $24.58 / $70.92	Professional		$19.43	$24.58	$70.92
United Facility/Professional Professional Modifier Low / Median / High Price $38.35 / $62.02 / $95.25	Professional		$38.35	$62.02	$95.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $20.36 / $31.91	Professional	26	$12.88	$20.36	$31.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.40 / $41.25 / $63.34	Professional	TC	$25.40	$41.25	$63.34