Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.24 / $112.54 / $132.43	Facility	26	$32.24	$112.54	$132.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.10 / $119.79 / $296.06	Professional		$88.10	$119.79	$296.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.99 / $32.24 / $71.79	Professional	26	$22.99	$32.24	$71.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.11 / $87.55 / $145.38	Professional	TC	$65.11	$87.55	$145.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.48 / $163.94 / $199.90	Professional		$105.48	$163.94	$199.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.17 / $43.41 / $54.75	Professional	26	$28.17	$43.41	$54.75
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.31 / $118.10 / $144.00	Professional	TC	$77.31	$118.10	$144.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.41 / $153.03 / $245.63	Professional		$124.41	$153.03	$245.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.19 / $40.42 / $67.09	Professional	26	$32.19	$40.42	$67.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.52 / $110.80 / $182.05	Professional	TC	$91.52	$110.80	$182.05
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $112.01 / $123.78 / $175.93	Professional		$112.01	$123.78	$175.93
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $26.52 / $31.26 / $45.05	Professional	26	$26.52	$31.26	$45.05
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $74.59 / $88.30 / $116.07	Professional	TC	$74.59	$88.30	$116.07
Health New England Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $58.12 / $89.25	Professional		$24.31	$58.12	$89.25
United Facility/Professional Professional Modifier Low / Median / High Price $96.23 / $145.07 / $300.13	Professional		$96.23	$145.07	$300.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.75 / $42.45 / $87.14	Professional	26	$25.75	$42.45	$87.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $68.70 / $107.52 / $228.07	Professional	TC	$68.70	$107.52	$228.07