Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.60 / $65.04 / $95.87	Professional		$51.60	$65.04	$95.87
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $66.36 / $66.36 / $66.36	Professional	25	$66.36	$66.36	$66.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.69 / $27.04 / $35.46	Professional	26	$23.69	$27.04	$35.46
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $28.14 / $35.25 / $47.94	Professional	52	$28.14	$35.25	$47.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.58 / $41.51 / $62.82	Professional	TC	$32.58	$41.51	$62.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $78.51 / $134.49	Professional		$51.42	$78.51	$134.49
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.65 / $31.87 / $41.42	Professional	26	$20.65	$31.87	$41.42
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.77 / $46.63 / $93.07	Professional	TC	$30.77	$46.63	$93.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $92.13 / $185.57	Professional		$65.20	$92.13	$185.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.04 / $32.74 / $72.77	Professional	26	$24.04	$32.74	$72.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.29 / $59.39 / $108.66	Professional	TC	$38.29	$59.39	$108.66
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $56.00 / $73.43	Professional		$47.60	$56.00	$73.43
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $30.07 / $30.07 / $34.61	Professional	26	$30.07	$30.07	$34.61
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $43.35 / $43.35 / $62.31	Professional	TC	$43.35	$43.35	$62.31
Health New England Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $62.08 / $130.87	Professional		$62.08	$62.08	$130.87
United Facility/Professional Professional Modifier Low / Median / High Price $49.87 / $66.54 / $128.80	Professional		$49.87	$66.54	$128.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.67 / $28.32 / $54.87	Professional	26	$19.67	$28.32	$54.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.87 / $38.15 / $73.93	Professional	TC	$28.87	$38.15	$73.93