Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $56.23 / $64.57	Facility	26	$21.38	$56.23	$64.57
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $63.10 / $100.00 / $138.04	Facility	TC	$63.10	$100.00	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $50.12 / $213.80	Professional		$36.31	$50.12	$213.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $19.95 / $58.88	Professional	26	$12.02	$19.95	$58.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.90 / $83.18	Professional	TC	$21.88	$30.90	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $63.10 / $95.50	Professional		$40.74	$63.10	$95.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $19.50 / $30.90	Professional	26	$14.79	$19.50	$30.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $42.66 / $66.07	Professional	TC	$25.12	$42.66	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $70.79 / $128.82	Professional		$44.67	$70.79	$128.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $22.39 / $38.90	Professional	26	$15.14	$22.39	$38.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $48.98 / $91.20	Professional	TC	$28.18	$48.98	$91.20
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $60.26 / $74.13	Professional		$48.98	$60.26	$74.13
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $17.78 / $25.12	Professional	26	$15.14	$17.78	$25.12
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $44.67 / $53.70	Professional	TC	$31.62	$44.67	$53.70
Health New England Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $72.44	Professional		$19.05	$23.99	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $89.13	Professional		$38.02	$54.95	$89.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $16.98 / $28.84	Professional	26	$12.02	$16.98	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $37.15 / $63.10	Professional	TC	$25.70	$37.15	$63.10