Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $32.36 / $45.71	Facility	26	$10.23	$32.36	$45.71
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $44.67 / $67.61 / $95.50	Facility	TC	$44.67	$67.61	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $26.92 / $60.26	Professional		$14.45	$26.92	$60.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $9.12 / $29.51	Professional	26	$6.03	$9.12	$29.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $20.89 / $41.69	Professional	TC	$15.14	$20.89	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $38.90 / $53.70	Professional		$26.30	$38.90	$53.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $11.48 / $16.22	Professional	26	$7.08	$11.48	$16.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $26.92 / $38.90	Professional	TC	$19.05	$26.92	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.66 / $69.18	Professional		$28.84	$42.66	$69.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.48 / $20.42	Professional	26	$7.94	$11.48	$20.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $30.20 / $52.48	Professional	TC	$19.50	$30.20	$52.48
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $35.48 / $45.71	Professional		$28.84	$35.48	$45.71
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.96 / $13.18	Professional	26	$7.59	$10.96	$13.18
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $29.51 / $37.15	Professional	TC	$18.20	$29.51	$37.15
Health New England Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $12.30 / $16.98	Professional		$11.75	$12.30	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $35.48 / $58.88	Professional		$23.44	$35.48	$58.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $9.77 / $16.22	Professional	26	$6.76	$9.77	$16.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $25.12 / $41.69	Professional	TC	$16.60	$25.12	$41.69