Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $63.10 / $87.10	Facility	26	$19.50	$63.10	$87.10
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $63.10 / $95.50 / $131.83	Facility	TC	$63.10	$95.50	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $45.71 / $199.53	Professional		$34.67	$45.71	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.85 / $70.79	Professional	26	$12.02	$15.85	$70.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.18 / $46.77	Professional	TC	$20.89	$28.18	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $64.57 / $87.10	Professional		$40.74	$64.57	$87.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $21.88 / $33.88	Professional	26	$12.59	$21.88	$33.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $41.69 / $56.23	Professional	TC	$27.54	$41.69	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $66.07 / $107.15	Professional		$42.66	$66.07	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $21.88 / $39.81	Professional	26	$14.79	$21.88	$39.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $41.69 / $74.13	Professional	TC	$26.92	$41.69	$74.13
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $53.70 / $70.79	Professional		$43.65	$53.70	$70.79
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $19.95 / $24.55	Professional	26	$14.45	$19.95	$24.55
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $41.69 / $52.48	Professional	TC	$24.55	$41.69	$52.48
Health New England Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $22.39 / $74.13	Professional		$21.38	$22.39	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $54.95 / $91.20	Professional		$35.48	$54.95	$91.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $17.78 / $30.90	Professional	26	$13.18	$17.78	$30.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $34.67 / $61.66	Professional	TC	$22.39	$34.67	$61.66