Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $46.77 / $54.95	Facility	26	$15.14	$46.77	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $53.70 / $158.49	Professional		$38.90	$53.70	$158.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.30 / $38.02	Professional	26	$8.91	$12.30	$38.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $38.90 / $89.13	Professional	TC	$30.20	$38.90	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $69.18 / $102.33	Professional		$42.66	$69.18	$102.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $16.22 / $23.99	Professional	26	$11.22	$16.22	$23.99
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $53.70 / $77.62	Professional	TC	$30.90	$53.70	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $75.86 / $131.83	Professional		$47.86	$75.86	$131.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $16.60 / $28.18	Professional	26	$10.96	$16.60	$28.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $57.54 / $123.03	Professional	TC	$31.62	$57.54	$123.03
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $58.88 / $79.43	Professional		$47.86	$58.88	$79.43
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $15.49 / $18.62	Professional	26	$11.22	$15.49	$18.62
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $57.54 / $72.44	Professional	TC	$36.31	$57.54	$72.44
Health New England Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.95 / $81.28	Professional		$16.60	$19.95	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $61.66 / $104.71	Professional		$39.81	$61.66	$104.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $14.13 / $23.99	Professional	26	$9.33	$14.13	$23.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $47.86 / $81.28	Professional	TC	$30.90	$47.86	$81.28