Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $64.44 / $76.18	Professional		$52.64	$64.44	$76.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.31 / $38.40 / $94.00	Professional	26	$32.31	$38.40	$94.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.92 / $26.03 / $31.67	Professional	TC	$21.92	$26.03	$31.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $76.42 / $105.03	Professional		$49.75	$76.42	$105.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.07 / $43.96 / $56.24	Professional	26	$28.07	$43.96	$56.24
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.68 / $31.98 / $41.65	Professional	TC	$20.68	$31.98	$41.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.83 / $72.00 / $164.71	Professional		$56.83	$72.00	$164.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.51 / $44.75 / $98.75	Professional	26	$33.51	$44.75	$98.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.80 / $29.66 / $65.95	Professional	TC	$20.80	$29.66	$65.95
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $70.23 / $70.23 / $73.81	Professional		$70.23	$70.23	$73.81
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $41.48 / $41.48 / $47.33	Professional	26	$41.48	$41.48	$47.33
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $22.91 / $32.33	Professional	TC	$22.91	$22.91	$32.33
Health New England Facility/Professional Professional Modifier Low / Median / High Price $60.78 / $98.30 / $102.62	Professional		$60.78	$98.30	$102.62
United Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $62.81 / $128.47	Professional		$40.86	$62.81	$128.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.99 / $38.84 / $75.25	Professional	26	$26.99	$38.84	$75.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.99 / $26.02 / $53.22	Professional	TC	$13.99	$26.02	$53.22