Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.83 / $30.58 / $39.86	Facility	26	$9.83	$30.58	$39.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $36.65 / $158.00	Professional		$25.85	$36.65	$158.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.77 / $9.83 / $23.43	Professional	26	$6.77	$9.83	$23.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.07 / $26.82 / $133.00	Professional	TC	$19.07	$26.82	$133.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $55.33 / $64.81	Professional		$33.88	$55.33	$64.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $12.62 / $16.14	Professional	26	$8.52	$12.62	$16.14
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.41 / $41.31 / $49.16	Professional	TC	$24.41	$41.31	$49.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $52.69 / $89.80	Professional		$34.79	$52.69	$89.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.90 / $12.24 / $20.20	Professional	26	$9.90	$12.24	$20.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.30 / $37.22 / $71.31	Professional	TC	$24.30	$37.22	$71.31
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $38.26 / $50.15	Professional		$32.63	$38.26	$50.15
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $9.90 / $18.05	Professional	26	$8.46	$9.90	$18.05
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $24.17 / $34.26 / $60.63	Professional	TC	$24.17	$34.26	$60.63
Health New England Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $13.34	Professional		$13.00	$13.00	$13.34
United Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $53.05 / $81.47	Professional		$31.59	$53.05	$81.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.06 / $12.86 / $19.73	Professional	26	$7.06	$12.86	$19.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.67 / $39.70 / $61.87	Professional	TC	$22.67	$39.70	$61.87