Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.62 / $185.45 / $227.42	Facility	26	$52.62	$185.45	$227.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $81.03 / $214.68	Professional		$57.43	$81.03	$214.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.26 / $41.06 / $123.91	Professional	26	$33.26	$41.06	$123.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.78 / $40.29 / $70.33	Professional	TC	$20.78	$40.29	$70.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.95 / $111.94 / $192.12	Professional		$60.95	$111.94	$192.12
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.27 / $67.23 / $91.69	Professional	26	$33.27	$67.23	$91.69
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.05 / $44.09 / $90.83	Professional	TC	$20.05	$44.09	$90.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.02 / $100.46 / $234.33	Professional		$81.02	$100.46	$234.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.49 / $61.44 / $119.61	Professional	26	$43.49	$61.44	$119.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.63 / $45.59 / $129.77	Professional	TC	$29.63	$45.59	$129.77
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $91.75 / $116.63 / $214.95	Professional		$91.75	$116.63	$214.95
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $47.60 / $59.36 / $95.99	Professional	26	$47.60	$59.36	$95.99
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $33.72 / $64.34 / $118.97	Professional	TC	$33.72	$64.34	$118.97
Health New England Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $82.50 / $274.55	Professional		$49.33	$82.50	$274.55
United Facility/Professional Professional Modifier Low / Median / High Price $67.70 / $102.21 / $204.22	Professional		$67.70	$102.21	$204.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.65 / $54.38 / $103.37	Professional	26	$37.65	$54.38	$103.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.88 / $45.66 / $106.38	Professional	TC	$29.88	$45.66	$106.38