Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.51 / $52.97 / $68.50	Facility	26	$9.51	$52.97	$68.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $75.20 / $268.27	Professional		$37.39	$75.20	$268.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.79 / $18.39 / $72.00	Professional	26	$6.79	$18.39	$72.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.27 / $52.52 / $180.33	Professional	TC	$30.27	$52.52	$180.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.37 / $105.07 / $149.19	Professional		$43.37	$105.07	$149.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.69 / $17.13 / $23.69	Professional	26	$13.69	$17.13	$23.69
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.16 / $86.66 / $128.63	Professional	TC	$28.16	$86.66	$128.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.94 / $81.89 / $142.59	Professional		$51.94	$81.89	$142.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $13.70 / $33.83	Professional	26	$10.02	$13.70	$33.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.60 / $65.31 / $110.14	Professional	TC	$33.60	$65.31	$110.14
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $87.15 / $111.41	Professional		$50.36	$87.15	$111.41
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $7.82 / $16.64 / $31.02	Professional	26	$7.82	$16.64	$31.02
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $31.99 / $39.75 / $72.08	Professional	TC	$31.99	$39.75	$72.08
Health New England Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $15.68 / $24.12	Professional		$15.36	$15.68	$24.12
United Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $69.62 / $107.87	Professional		$40.47	$69.62	$107.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.36 / $21.07 / $33.42	Professional	26	$11.36	$21.07	$33.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.65 / $44.53 / $85.34	Professional	TC	$26.65	$44.53	$85.34