Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.47 / $66.84 / $155.33	Facility	26	$45.47	$66.84	$155.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $175.36 / $631.00	Professional		$76.95	$175.36	$631.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.05 / $46.23 / $98.00	Professional	26	$20.05	$46.23	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.91 / $91.60 / $336.80	Professional	TC	$56.91	$91.60	$336.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.33 / $141.38 / $260.32	Professional		$84.33	$141.38	$260.32
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.57 / $33.47 / $70.03	Professional	26	$23.57	$33.47	$70.03
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.77 / $107.92 / $173.67	Professional	TC	$60.77	$107.92	$173.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.39 / $106.48 / $271.12	Professional		$56.39	$106.48	$271.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.10 / $25.45 / $65.43	Professional	26	$15.10	$25.45	$65.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.29 / $81.73 / $206.94	Professional	TC	$41.29	$81.73	$206.94
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $96.04 / $194.39 / $296.70	Professional		$96.04	$194.39	$296.70
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $23.63 / $47.02 / $61.49	Professional	26	$23.63	$47.02	$61.49
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $72.41 / $147.37 / $189.97	Professional	TC	$72.41	$147.37	$189.97
Health New England Facility/Professional Professional Modifier Low / Median / High Price $218.13 / $218.13 / $240.63	Professional		$218.13	$218.13	$240.63
United Facility/Professional Professional Modifier Low / Median / High Price $90.16 / $192.37 / $413.55	Professional		$90.16	$192.37	$413.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.15 / $54.14 / $109.88	Professional	26	$21.15	$54.14	$109.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.01 / $167.50 / $335.30	Professional	TC	$69.01	$167.50	$335.30