Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.63 / $42.39 / $52.16	Facility	26	$13.63	$42.39	$52.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.14 / $53.64 / $225.00	Professional		$37.14	$53.64	$225.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.61 / $13.63 / $41.78	Professional	26	$9.61	$13.63	$41.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.52 / $40.01 / $178.00	Professional	TC	$27.52	$40.01	$178.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.88 / $75.53 / $91.27	Professional		$47.88	$75.53	$91.27
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.35 / $17.32 / $22.22	Professional	26	$11.35	$17.32	$22.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.70 / $58.75 / $68.90	Professional	TC	$35.70	$58.75	$68.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.22 / $77.13 / $128.75	Professional		$54.22	$77.13	$128.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.95 / $16.18 / $27.17	Professional	26	$12.95	$16.18	$27.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.35 / $58.64 / $100.15	Professional	TC	$40.35	$58.64	$100.15
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $48.14 / $57.29 / $74.58	Professional		$48.14	$57.29	$74.58
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $11.29 / $12.93 / $23.67	Professional	26	$11.29	$12.93	$23.67
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $36.43 / $47.57 / $84.26	Professional	TC	$36.43	$47.57	$84.26
Health New England Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $21.50 / $83.32	Professional		$16.55	$21.50	$83.32
United Facility/Professional Professional Modifier Low / Median / High Price $45.03 / $72.29 / $114.79	Professional		$45.03	$72.29	$114.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.75 / $17.64 / $26.59	Professional	26	$10.75	$17.64	$26.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.50 / $57.43 / $88.20	Professional	TC	$34.50	$57.43	$88.20