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 $23.27 / $33.49 / $148.00	Professional		$23.27	$33.49	$148.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.64 / $9.47 / $28.53	Professional	26	$6.64	$9.47	$28.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.75 / $23.63 / $121.00	Professional	TC	$16.75	$23.63	$121.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.19 / $46.04 / $57.16	Professional		$29.19	$46.04	$57.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.29 / $12.14 / $15.53	Professional	26	$7.29	$12.14	$15.53
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.90 / $34.54 / $42.88	Professional	TC	$21.90	$34.54	$42.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $47.13 / $83.74	Professional		$37.35	$47.13	$83.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.52 / $11.78 / $19.45	Professional	26	$9.52	$11.78	$19.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.44 / $35.35 / $62.29	Professional	TC	$27.44	$35.35	$62.29
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $30.63 / $37.93 / $48.18	Professional		$30.63	$37.93	$48.18
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $8.16 / $9.53 / $17.34	Professional	26	$8.16	$9.53	$17.34
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $22.47 / $28.39 / $48.47	Professional	TC	$22.47	$28.39	$48.47
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $52.12 / $63.90	Professional		$12.18	$52.12	$63.90
United Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $47.92 / $68.70	Professional		$29.50	$47.92	$68.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.90 / $12.38 / $19.01	Professional	26	$7.90	$12.38	$19.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.20 / $34.65 / $49.70	Professional	TC	$20.20	$34.65	$49.70