Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.80 / $54.01 / $69.08	Facility	26	$17.80	$54.01	$69.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $54.84 / $246.00	Professional		$36.97	$54.84	$246.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.51 / $17.80 / $54.54	Professional	26	$12.51	$17.80	$54.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.90 / $35.61 / $109.53	Professional	TC	$24.90	$35.61	$109.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.46 / $77.76 / $93.27	Professional		$47.46	$77.76	$93.27
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.42 / $22.33 / $28.59	Professional	26	$13.42	$22.33	$28.59
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.04 / $55.26 / $66.66	Professional	TC	$34.04	$55.26	$66.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.05 / $77.54 / $143.08	Professional		$59.05	$77.54	$143.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.18 / $21.66 / $36.57	Professional	26	$17.18	$21.66	$36.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.44 / $55.43 / $103.75	Professional	TC	$42.44	$55.43	$103.75
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $53.07 / $62.40 / $73.59	Professional		$53.07	$62.40	$73.59
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $14.71 / $17.53 / $31.92	Professional	26	$14.71	$17.53	$31.92
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $37.46 / $43.74 / $74.80	Professional	TC	$37.46	$43.74	$74.80
Health New England Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $24.72 / $82.79	Professional		$21.79	$24.72	$82.79
United Facility/Professional Professional Modifier Low / Median / High Price $44.85 / $74.41 / $107.16	Professional		$44.85	$74.41	$107.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.54 / $23.10 / $40.63	Professional	26	$14.54	$23.10	$40.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.99 / $51.17 / $78.56	Professional	TC	$30.99	$51.17	$78.56