Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.33 / $55.18 / $127.19	Facility	26	$31.33	$55.18	$127.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $35.97 / $74.48	Professional		$30.29	$35.97	$74.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.98 / $23.41 / $63.70	Professional	26	$19.98	$23.41	$63.70
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.00 / $17.34 / $23.88	Professional	52	$15.00	$17.34	$23.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.17 / $12.10 / $21.76	Professional	TC	$10.17	$12.10	$21.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.66 / $51.66 / $67.12	Professional		$30.66	$51.66	$67.12
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.30 / $34.19 / $43.20	Professional	26	$20.30	$34.19	$43.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.60 / $17.34 / $24.23	Professional	TC	$10.60	$17.34	$24.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.06 / $48.62 / $94.08	Professional		$38.06	$48.62	$94.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.83 / $31.84 / $61.75	Professional	26	$24.83	$31.84	$61.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.06 / $16.89 / $33.56	Professional	TC	$13.06	$16.89	$33.56
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $52.22 / $69.87	Professional		$42.02	$52.22	$69.87
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $26.12 / $31.94 / $44.70	Professional	26	$26.12	$31.94	$44.70
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $15.73 / $18.82 / $25.92	Professional	TC	$15.73	$18.82	$25.92
Health New England Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $44.60 / $70.00	Professional		$18.60	$44.60	$70.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $45.85 / $88.39	Professional		$32.11	$45.85	$88.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.41 / $30.80 / $56.45	Professional	26	$21.41	$30.80	$56.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.48 / $15.17 / $31.94	Professional	TC	$10.48	$15.17	$31.94