Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.67 / $56.22 / $66.15	Facility	26	$16.67	$56.22	$66.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.62 / $62.28 / $151.66	Professional		$44.62	$62.28	$151.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.28 / $16.67 / $39.08	Professional	26	$11.28	$16.67	$39.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.22 / $45.61 / $93.74	Professional	TC	$32.22	$45.61	$93.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $94.00 / $132.86	Professional		$49.68	$94.00	$132.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.26 / $25.58 / $36.15	Professional	26	$13.26	$25.58	$36.15
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.40 / $68.41 / $96.70	Professional	TC	$36.40	$68.41	$96.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.89 / $79.44 / $127.34	Professional		$60.89	$79.44	$127.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.05 / $20.46 / $33.43	Professional	26	$16.05	$20.46	$33.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.54 / $58.05 / $95.53	Professional	TC	$44.54	$58.05	$95.53
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $72.37 / $85.44	Professional		$54.67	$72.37	$85.44
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $13.43 / $15.95 / $31.66	Professional	26	$13.43	$15.95	$31.66
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $39.15 / $47.34 / $97.84	Professional	TC	$39.15	$47.34	$97.84
Health New England Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $27.59 / $85.97	Professional		$19.89	$27.59	$85.97
United Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $79.06 / $158.51	Professional		$46.67	$79.06	$158.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.23 / $20.87 / $42.48	Professional	26	$12.23	$20.87	$42.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.29 / $59.93 / $116.03	Professional	TC	$33.29	$59.93	$116.03