Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $114.82 / $371.54	Facility		$74.13	$114.82	$371.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.49 / $42.66 / $50.12	Facility	26	$13.49	$42.66	$50.12
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $61.66 / $100.00 / $323.59	Facility	TC	$61.66	$100.00	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $52.48 / $190.55	Professional		$32.36	$52.48	$190.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.45 / $47.86	Professional	26	$8.91	$14.45	$47.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $33.88 / $100.00	Professional	TC	$22.91	$33.88	$100.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $74.13 / $125.89	Facility		$51.29	$74.13	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $54.95 / $83.18	Professional		$34.67	$54.95	$83.18
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $15.14 / $22.39	Professional	26	$8.91	$15.14	$22.39
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $38.90 / $56.23	Professional	TC	$25.70	$38.90	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $102.33 / $257.04	Facility		$28.18	$102.33	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $57.54 / $97.72	Professional		$36.31	$57.54	$97.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $15.85 / $25.70	Professional	26	$9.77	$15.85	$25.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $40.74 / $85.11	Professional	TC	$23.99	$40.74	$85.11
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $47.86 / $61.66	Professional		$40.74	$47.86	$61.66
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $14.45 / $17.38	Professional	26	$10.96	$14.45	$17.38
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $40.74 / $51.29	Professional	TC	$29.51	$40.74	$51.29
Health New England Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $275.42 / $288.40	Facility		$107.15	$275.42	$288.40
Health New England Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.89 / $70.79	Professional		$15.49	$20.89	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $46.77 / $77.62	Professional		$30.20	$46.77	$77.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $12.88 / $21.88	Professional	26	$8.51	$12.88	$21.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $32.36 / $57.54	Professional	TC	$21.88	$32.36	$57.54