Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $120.23 / $154.88	Facility	26	$38.02	$120.23	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $114.82 / $354.81	Professional		$48.98	$114.82	$354.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $42.66 / $138.04	Professional	26	$22.91	$42.66	$138.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $138.04 / $138.04	Professional	50	$138.04	$138.04	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $30.90 / $114.82	Professional	TC	$10.00	$30.90	$114.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $128.82 / $208.93	Professional		$53.70	$128.82	$208.93
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $41.69 / $67.61	Professional	26	$26.30	$41.69	$67.61
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $194.98 / $316.23	Professional	50	$81.28	$194.98	$316.23
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $89.13 / $158.49	Professional	TC	$12.88	$89.13	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $147.91 / $213.80	Professional		$74.13	$147.91	$213.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $44.67 / $89.13	Professional	26	$33.11	$44.67	$89.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $85.11 / $141.25	Professional	TC	$15.49	$85.11	$141.25
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $186.21	Professional		$89.13	$147.91	$186.21
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $50.12 / $69.18	Professional	26	$26.30	$50.12	$69.18
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $19.50 / $123.03	Professional	TC	$13.18	$19.50	$123.03
Health New England Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $67.61 / $112.20	Professional		$66.07	$67.61	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $102.33 / $169.82	Professional		$60.26	$102.33	$169.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $35.48 / $81.28	Professional	26	$25.12	$35.48	$81.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $52.48 / $114.82	Professional	TC	$16.22	$52.48	$114.82