Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.54 / $69.73 / $158.47	Facility	26	$39.54	$69.73	$158.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $64.34 / $124.21	Professional		$56.75	$64.34	$124.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.14 / $29.49 / $74.05	Professional	26	$25.14	$29.49	$74.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.72 / $34.52 / $61.67	Professional	TC	$30.72	$34.52	$61.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.36 / $95.33 / $123.87	Professional		$56.36	$95.33	$123.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.63 / $41.36 / $54.34	Professional	26	$25.63	$41.36	$54.34
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.00 / $50.59 / $65.73	Professional	TC	$29.00	$50.59	$65.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $90.84 / $186.08	Professional		$68.48	$90.84	$186.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.11 / $39.79 / $78.14	Professional	26	$31.11	$39.79	$78.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.74 / $49.59 / $104.74	Professional	TC	$36.74	$49.59	$104.74
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $78.05 / $97.67 / $177.14	Professional		$78.05	$97.67	$177.14
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $32.51 / $41.14 / $55.79	Professional	26	$32.51	$41.14	$55.79
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $44.98 / $55.93 / $103.08	Professional	TC	$44.98	$55.93	$103.08
Health New England Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $53.45 / $86.11	Professional		$43.52	$53.45	$86.11
United Facility/Professional Professional Modifier Low / Median / High Price $56.05 / $90.03 / $187.76	Professional		$56.05	$90.03	$187.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.65 / $36.67 / $70.34	Professional	26	$26.65	$36.67	$70.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.40 / $43.17 / $92.22	Professional	TC	$30.40	$43.17	$92.22