Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $51.29 / $60.26	Facility	26	$16.60	$51.29	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $48.98 / $181.97	Professional		$17.38	$48.98	$181.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $17.38 / $44.67	Professional	26	$10.47	$17.38	$44.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.90 / $89.13	Professional	TC	$21.88	$30.90	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $56.23 / $81.28	Professional		$35.48	$56.23	$81.28
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $17.38 / $26.30	Professional	26	$10.00	$17.38	$26.30
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $38.90 / $54.95	Professional	TC	$24.55	$38.90	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $60.26 / $120.23	Professional		$37.15	$60.26	$120.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $18.20 / $30.90	Professional	26	$12.30	$18.20	$30.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $41.69 / $85.11	Professional	TC	$22.91	$41.69	$85.11
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $48.98 / $63.10	Professional		$39.81	$48.98	$63.10
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $17.38 / $20.89	Professional	26	$12.30	$17.38	$20.89
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $39.81 / $50.12	Professional	TC	$26.92	$39.81	$50.12
Health New England Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.44 / $85.11	Professional		$19.50	$23.44	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $83.18	Professional		$32.36	$50.12	$83.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $15.49 / $25.70	Professional	26	$10.47	$15.49	$25.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $33.11 / $58.88	Professional	TC	$21.88	$33.11	$58.88