Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.22 / $51.29 / $60.26	Facility	26	$16.22	$51.29	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $52.48 / $158.49	Professional		$35.48	$52.48	$158.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $14.79 / $39.81	Professional	26	$10.00	$14.79	$39.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $34.67 / $87.10	Professional	TC	$25.12	$34.67	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $61.66 / $91.20	Professional		$38.02	$61.66	$91.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $16.98 / $25.70	Professional	26	$12.02	$16.98	$25.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $45.71 / $64.57	Professional	TC	$25.70	$45.71	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $67.61 / $114.82	Professional		$43.65	$67.61	$114.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $17.78 / $29.51	Professional	26	$11.75	$17.78	$29.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $47.86 / $100.00	Professional	TC	$26.92	$47.86	$100.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $53.70 / $69.18	Professional		$43.65	$53.70	$69.18
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $16.98 / $19.95	Professional	26	$12.02	$16.98	$19.95
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $46.77 / $58.88	Professional	TC	$30.20	$46.77	$58.88
Health New England Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $24.55 / $100.00	Professional		$18.20	$24.55	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $54.95 / $93.33	Professional		$35.48	$54.95	$93.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $15.14 / $25.70	Professional	26	$10.23	$15.14	$25.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $39.81 / $69.18	Professional	TC	$25.70	$39.81	$69.18