Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.36 / $43.44 / $56.78	Facility	26	$14.36	$43.44	$56.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $46.24 / $202.00	Professional		$32.54	$46.24	$202.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $14.36 / $42.30	Professional	26	$10.02	$14.36	$42.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $33.76 / $141.00	Professional	TC	$22.57	$33.76	$141.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.62 / $67.33 / $80.84	Professional		$42.62	$67.33	$80.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.35 / $17.92 / $23.00	Professional	26	$12.35	$17.92	$23.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.78 / $48.18 / $57.71	Professional	TC	$28.78	$48.18	$57.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.78 / $68.80 / $113.74	Professional		$52.78	$68.80	$113.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.11 / $17.39 / $29.49	Professional	26	$14.11	$17.39	$29.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.63 / $50.25 / $83.02	Professional	TC	$37.63	$50.25	$83.02
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $53.00 / $65.48	Professional		$43.41	$53.00	$65.48
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $11.89 / $14.06 / $25.78	Professional	26	$11.89	$14.06	$25.78
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $30.30 / $40.59 / $69.41	Professional	TC	$30.30	$40.59	$69.41
Health New England Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $25.68 / $76.30	Professional		$18.02	$25.68	$76.30
United Facility/Professional Professional Modifier Low / Median / High Price $40.81 / $66.76 / $101.83	Professional		$40.81	$66.76	$101.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.63 / $18.80 / $28.89	Professional	26	$11.63	$18.80	$28.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.92 / $45.99 / $72.94	Professional	TC	$27.92	$45.99	$72.94