Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.47 / $29.46 / $38.36	Facility	26	$9.47	$29.46	$38.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $36.29 / $165.00	Professional		$25.59	$36.29	$165.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.64 / $9.47 / $44.75	Professional	26	$6.64	$9.47	$44.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.07 / $27.65 / $119.00	Professional	TC	$19.07	$27.65	$119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $53.71 / $63.60	Professional		$35.33	$53.71	$63.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.37 / $12.13 / $15.53	Professional	26	$7.37	$12.13	$15.53
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.07 / $40.93 / $49.77	Professional	TC	$27.07	$40.93	$49.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.38 / $51.84 / $90.95	Professional		$34.38	$51.84	$90.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $11.43 / $19.45	Professional	26	$9.19	$11.43	$19.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.30 / $38.06 / $69.50	Professional	TC	$24.30	$38.06	$69.50
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $32.67 / $38.43 / $49.82	Professional		$32.67	$38.43	$49.82
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $7.82 / $9.53 / $17.34	Professional	26	$7.82	$9.53	$17.34
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $24.85 / $33.50 / $59.27	Professional	TC	$24.85	$33.50	$59.27
Health New England Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $15.97 / $60.71	Professional		$11.69	$15.97	$60.71
United Facility/Professional Professional Modifier Low / Median / High Price $31.69 / $51.53 / $80.73	Professional		$31.69	$51.53	$80.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.67 / $12.46 / $19.01	Professional	26	$7.67	$12.46	$19.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.01 / $40.47 / $61.87	Professional	TC	$24.01	$40.47	$61.87