Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $53.70 / $63.10	Facility	26	$16.98	$53.70	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $52.48 / $162.18	Professional		$37.15	$52.48	$162.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $14.79 / $45.71	Professional	26	$10.96	$14.79	$45.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $33.11 / $74.13	Professional	TC	$22.91	$33.11	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $63.10 / $91.20	Professional		$38.02	$63.10	$91.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $18.20 / $28.18	Professional	26	$12.88	$18.20	$28.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $44.67 / $64.57	Professional	TC	$25.70	$44.67	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $69.18 / $138.04	Professional		$42.66	$69.18	$138.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $19.05 / $31.62	Professional	26	$12.88	$19.05	$31.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $48.98 / $100.00	Professional	TC	$27.54	$48.98	$100.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $54.95 / $70.79	Professional		$44.67	$54.95	$70.79
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $17.78 / $20.89	Professional	26	$12.88	$17.78	$20.89
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $45.71 / $58.88	Professional	TC	$30.90	$45.71	$58.88
Health New England Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $20.42 / $75.86	Professional		$11.22	$20.42	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $56.23 / $95.50	Professional		$36.31	$56.23	$95.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $16.22 / $26.92	Professional	26	$10.72	$16.22	$26.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $39.81 / $67.61	Professional	TC	$25.70	$39.81	$67.61