Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $47.86 / $56.23	Facility	26	$15.14	$47.86	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $144.54	Professional		$33.11	$44.67	$144.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $14.13 / $40.74	Professional	26	$9.33	$14.13	$40.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $30.20 / $72.44	Professional	TC	$22.91	$30.20	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $57.54 / $83.18	Professional		$34.67	$57.54	$83.18
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $16.22 / $24.55	Professional	26	$11.48	$16.22	$24.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $41.69 / $58.88	Professional	TC	$22.39	$41.69	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $61.66 / $107.15	Professional		$39.81	$61.66	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $16.98 / $28.18	Professional	26	$11.22	$16.98	$28.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $43.65 / $93.33	Professional	TC	$23.99	$43.65	$93.33
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $48.98 / $61.66	Professional		$39.81	$48.98	$61.66
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $15.85 / $19.05	Professional	26	$11.22	$15.85	$19.05
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $42.66 / $54.95	Professional	TC	$27.54	$42.66	$54.95
Health New England Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.50 / $70.79	Professional		$16.60	$19.50	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $85.11	Professional		$33.11	$50.12	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $14.45 / $23.99	Professional	26	$9.55	$14.45	$23.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $36.31 / $63.10	Professional	TC	$23.44	$36.31	$63.10