Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $50.90 / $59.89	Facility	26	$14.79	$50.90	$59.89
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $31.71 / $90.63 / $128.61	Facility	TC	$31.71	$90.63	$128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $43.17 / $225.00	Professional		$31.60	$43.17	$225.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.53 / $14.79 / $46.32	Professional	26	$10.53	$14.79	$46.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.06 / $28.39 / $85.57	Professional	TC	$21.06	$28.39	$85.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $80.45 / $111.16	Professional		$34.15	$80.45	$111.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.75 / $28.23 / $39.40	Professional	26	$9.75	$28.23	$39.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.41 / $54.18 / $71.75	Professional	TC	$24.41	$54.18	$71.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $59.26 / $97.56	Professional		$44.64	$59.26	$97.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.54 / $18.57 / $30.35	Professional	26	$14.54	$18.57	$30.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.22 / $40.28 / $68.47	Professional	TC	$30.22	$40.28	$68.47
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $49.95 / $59.74	Professional		$40.40	$49.95	$59.74
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $12.17 / $14.43 / $26.49	Professional	26	$12.17	$14.43	$26.49
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $24.17 / $35.47 / $60.63	Professional	TC	$24.17	$35.47	$60.63
Health New England Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $25.08 / $41.25	Professional		$18.00	$25.08	$41.25
United Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $60.01 / $92.15	Professional		$39.24	$60.01	$92.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.08 / $18.89 / $28.83	Professional	26	$12.08	$18.89	$28.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.95 / $41.24 / $63.32	Professional	TC	$24.95	$41.24	$63.32