Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.59 / $42.29 / $47.53	Facility	26	$13.59	$42.29	$47.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.09 / $41.62 / $191.00	Professional		$29.09	$41.62	$191.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.49 / $13.59 / $40.99	Professional	26	$9.49	$13.59	$40.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.66 / $28.02 / $136.00	Professional	TC	$19.66	$28.02	$136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $56.77 / $69.22	Professional		$33.96	$56.77	$69.22
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $17.32 / $22.24	Professional	26	$9.02	$17.32	$22.24
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.93 / $40.10 / $48.81	Professional	TC	$24.93	$40.10	$48.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $59.02 / $104.81	Professional		$44.67	$59.02	$104.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.91 / $15.78 / $27.92	Professional	26	$12.91	$15.78	$27.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.79 / $43.18 / $74.01	Professional	TC	$32.79	$43.18	$74.01
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $48.74 / $62.51	Professional		$39.61	$48.74	$62.51
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $11.25 / $11.79 / $21.58	Professional	26	$11.25	$11.79	$21.58
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $27.23 / $32.33 / $55.22	Professional	TC	$27.23	$32.33	$55.22
Health New England Facility/Professional Professional Modifier Low / Median / High Price $15.10 / $23.35 / $74.06	Professional		$15.10	$23.35	$74.06
United Facility/Professional Professional Modifier Low / Median / High Price $32.01 / $52.90 / $81.23	Professional		$32.01	$52.90	$81.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.80 / $16.09 / $24.32	Professional	26	$9.80	$16.09	$24.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.07 / $35.89 / $56.91	Professional	TC	$22.07	$35.89	$56.91