Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.07 / $29.91 / $39.86	Facility	26	$9.07	$29.91	$39.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $39.29 / $138.00	Professional		$21.57	$39.29	$138.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.37 / $9.26 / $54.66	Professional	26	$6.37	$9.26	$54.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $65.27 / $126.75 / $130.55	Professional	50	$65.27	$126.75	$130.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.29 / $21.63 / $61.12	Professional	TC	$15.29	$21.63	$61.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $62.90 / $86.91	Professional		$29.48	$62.90	$86.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.28 / $17.72 / $24.25	Professional	26	$7.28	$17.72	$24.25
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $39.01 / $100.54 / $130.36	Professional	50	$39.01	$100.54	$130.36
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.20 / $45.79 / $62.66	Professional	TC	$22.20	$45.79	$62.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $45.20 / $78.33	Professional		$29.40	$45.20	$78.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.57 / $11.44 / $19.10	Professional	26	$9.57	$11.44	$19.10
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $43.42 / $43.42 / $43.42	Professional	50	$43.42	$43.42	$43.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.30 / $31.29 / $57.79	Professional	TC	$19.30	$31.29	$57.79
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $28.65 / $33.44 / $43.56	Professional		$28.65	$33.44	$43.56
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $7.82 / $9.90 / $18.05	Professional	26	$7.82	$9.90	$18.05
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $20.77 / $27.80 / $49.15	Professional	TC	$20.77	$27.80	$49.15
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $16.93 / $37.36	Professional		$12.18	$16.93	$37.36
United Facility/Professional Professional Modifier Low / Median / High Price $27.32 / $44.75 / $68.70	Professional		$27.32	$44.75	$68.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.36 / $11.86 / $18.21	Professional	26	$7.36	$11.86	$18.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.62 / $32.26 / $50.50	Professional	TC	$19.62	$32.26	$50.50