Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.44 / $63.58 / $82.21	Facility	26	$20.44	$63.58	$82.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.54 / $116.53 / $293.32	Professional		$55.54	$116.53	$293.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $23.31 / $100.00	Professional	26	$16.60	$23.31	$100.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.78 / $87.32 / $158.99	Professional	TC	$41.78	$87.32	$158.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $174.90 / $209.80	Professional		$89.31	$174.90	$209.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.50 / $28.17 / $32.86	Professional	26	$15.50	$28.17	$32.86
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $73.81 / $144.57 / $176.92	Professional	TC	$73.81	$144.57	$176.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $133.88 / $234.09	Professional		$96.42	$133.88	$234.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.25 / $24.36 / $41.19	Professional	26	$20.25	$24.36	$41.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.17 / $108.35 / $192.21	Professional	TC	$76.17	$108.35	$192.21
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $99.46 / $118.09 / $135.94	Professional		$99.46	$118.09	$135.94
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $17.84 / $19.97 / $37.22	Professional	26	$17.84	$19.97	$37.22
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $90.14 / $96.06 / $159.90	Professional	TC	$90.14	$96.06	$159.90
Health New England Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $43.76 / $57.00	Professional		$25.81	$43.76	$57.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.14 / $135.54 / $214.97	Professional		$86.14	$135.54	$214.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.26 / $25.33 / $40.17	Professional	26	$16.26	$25.33	$40.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.84 / $110.21 / $203.29	Professional	TC	$69.84	$110.21	$203.29