Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.07 / $29.91 / $39.86	Facility	26	$9.07	$29.91	$39.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $31.09 / $137.00	Professional		$21.85	$31.09	$137.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.37 / $11.06 / $44.75	Professional	26	$6.37	$11.06	$44.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.58 / $22.03 / $100.00	Professional	TC	$15.58	$22.03	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $59.82 / $81.84	Professional		$28.26	$59.82	$81.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $17.72 / $24.25	Professional	26	$7.58	$17.72	$24.25
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.68 / $42.22 / $57.60	Professional	TC	$20.68	$42.22	$57.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $42.85 / $74.73	Professional		$29.40	$42.85	$74.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.78 / $11.47 / $19.10	Professional	26	$9.78	$11.47	$19.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.30 / $30.27 / $54.18	Professional	TC	$19.30	$30.27	$54.18
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $27.48 / $32.47 / $42.30	Professional		$27.48	$32.47	$42.30
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $7.82 / $9.90 / $18.05	Professional	26	$7.82	$9.90	$18.05
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $19.39 / $25.91 / $45.76	Professional	TC	$19.39	$25.91	$45.76
Health New England Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $18.00 / $48.75	Professional		$13.62	$18.00	$48.75
United Facility/Professional Professional Modifier Low / Median / High Price $26.18 / $42.66 / $67.84	Professional		$26.18	$42.66	$67.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.97 / $12.94 / $19.75	Professional	26	$7.97	$12.94	$19.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.41 / $30.32 / $48.09	Professional	TC	$18.41	$30.32	$48.09