Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.70 / $36.39 / $44.48	Facility	26	$11.70	$36.39	$44.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $30.93 / $165.00	Professional		$21.92	$30.93	$165.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.18 / $11.70 / $29.77	Professional	26	$8.18	$11.70	$29.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.84 / $19.23 / $59.07	Professional	TC	$13.84	$19.23	$59.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.53 / $44.18 / $55.87	Professional		$28.53	$44.18	$55.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.59 / $15.40 / $18.77	Professional	26	$9.59	$15.40	$18.77
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.98 / $28.90 / $36.14	Professional	TC	$17.98	$28.90	$36.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.93 / $49.92 / $75.88	Professional		$35.93	$49.92	$75.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.44 / $13.87 / $22.54	Professional	26	$11.44	$13.87	$22.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.81 / $38.25 / $53.36	Professional	TC	$26.81	$38.25	$53.36
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $40.77 / $54.13	Professional		$29.16	$40.77	$54.13
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $8.98 / $10.65 / $19.47	Professional	26	$8.98	$10.65	$19.47
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $26.82 / $45.76	Professional	TC	$19.05	$26.82	$45.76
Health New England Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $29.99 / $51.04	Professional		$13.27	$29.99	$51.04
United Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $47.02 / $88.30	Professional		$27.91	$47.02	$88.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.17 / $15.69 / $28.66	Professional	26	$8.17	$15.69	$28.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.80 / $32.57 / $67.31	Professional	TC	$17.80	$32.57	$67.31