Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.93 / $55.22 / $61.41	Facility	26	$18.93	$55.22	$61.41
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $35.31 / $94.65 / $134.55	Facility	TC	$35.31	$94.65	$134.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.19 / $50.55 / $232.00	Professional		$35.19	$50.55	$232.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.96 / $20.34 / $59.25	Professional	26	$12.96	$20.34	$59.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.28 / $31.62 / $156.00	Professional	TC	$22.28	$31.62	$156.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.29 / $68.31 / $83.30	Professional		$42.29	$68.31	$83.30
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.69 / $22.79 / $30.43	Professional	26	$13.69	$22.79	$30.43
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.58 / $45.48 / $55.95	Professional	TC	$28.58	$45.48	$55.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.91 / $71.31 / $125.82	Professional		$52.91	$71.31	$125.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $20.92 / $37.15	Professional	26	$16.98	$20.92	$37.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.59 / $49.71 / $83.92	Professional	TC	$37.59	$49.71	$83.92
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $48.48 / $59.42 / $75.55	Professional		$48.48	$59.42	$75.55
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $14.69 / $15.32 / $27.87	Professional	26	$14.69	$15.32	$27.87
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $31.32 / $37.04 / $63.32	Professional	TC	$31.32	$37.04	$63.32
Health New England Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $31.33 / $72.00	Professional		$19.48	$31.33	$72.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.31 / $64.06 / $97.72	Professional		$42.31	$64.06	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.25 / $20.44 / $31.16	Professional	26	$13.25	$20.44	$31.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.06 / $41.85 / $64.64	Professional	TC	$29.06	$41.85	$64.64