Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.13 / $52.31 / $61.55	Facility	26	$15.13	$52.31	$61.55
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $31.26 / $87.61 / $125.67	Facility	TC	$31.26	$87.61	$125.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.63 / $43.12 / $216.39	Professional		$31.63	$43.12	$216.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.86 / $15.13 / $39.20	Professional	26	$10.86	$15.13	$39.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.77 / $27.99 / $77.54	Professional	TC	$20.77	$27.99	$77.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.44 / $63.44 / $74.63	Professional		$38.44	$63.44	$74.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.36 / $22.57 / $26.78	Professional	26	$11.36	$22.57	$26.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $42.20 / $51.34	Professional	TC	$27.54	$42.20	$51.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.27 / $59.29 / $96.41	Professional		$46.27	$59.29	$96.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.94 / $19.01 / $31.07	Professional	26	$14.94	$19.01	$31.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.80 / $39.72 / $66.22	Professional	TC	$29.80	$39.72	$66.22
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $50.05 / $59.03	Professional		$40.36	$50.05	$59.03
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $12.53 / $14.83 / $27.17	Professional	26	$12.53	$14.83	$27.17
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $23.83 / $34.29 / $58.61	Professional	TC	$23.83	$34.29	$58.61
Health New England Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $45.75 / $65.18	Professional		$18.98	$45.75	$65.18
United Facility/Professional Professional Modifier Low / Median / High Price $36.24 / $59.49 / $91.35	Professional		$36.24	$59.49	$91.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.35 / $19.41 / $29.63	Professional	26	$12.35	$19.41	$29.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.32 / $41.68 / $61.72	Professional	TC	$24.32	$41.68	$61.72