Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.21 / $36.61 / $46.11	Facility	26	$12.21	$36.61	$46.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.67 / $23.04 / $100.74	Professional		$15.67	$23.04	$100.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $12.21 / $31.26	Professional	26	$8.31	$12.21	$31.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.14 / $10.84 / $57.32	Professional	TC	$7.14	$10.84	$57.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.76 / $30.31 / $37.19	Professional		$18.76	$30.31	$37.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $14.90 / $19.26	Professional	26	$9.94	$14.90	$19.26
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.85 / $15.40 / $18.27	Professional	TC	$8.85	$15.40	$18.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $39.04 / $56.22	Professional		$23.30	$39.04	$56.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.17 / $14.14 / $24.27	Professional	26	$11.17	$14.14	$24.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.43 / $22.51 / $32.75	Professional	TC	$10.43	$22.51	$32.75
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $30.26 / $41.82	Professional		$21.37	$30.26	$41.82
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $9.74 / $11.44 / $20.83	Professional	26	$9.74	$11.44	$20.83
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $10.32 / $11.22 / $22.28	Professional	TC	$10.32	$11.22	$22.28
Health New England Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $18.43 / $29.99	Professional		$18.43	$18.43	$29.99
United Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $28.68 / $48.92	Professional		$18.64	$28.68	$48.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.17 / $14.97 / $22.84	Professional	26	$9.17	$14.97	$22.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.40 / $13.61 / $19.22	Professional	TC	$8.40	$13.61	$19.22