Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.77 / $44.56 / $58.28	Facility	26	$14.77	$44.56	$58.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.14 / $48.16 / $189.00	Professional		$28.14	$48.16	$189.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.10 / $19.55 / $46.23	Professional	26	$11.10	$19.55	$46.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $29.55 / $123.00	Professional	TC	$18.20	$29.55	$123.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $60.11 / $73.76	Professional		$38.11	$60.11	$73.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.05 / $18.39 / $23.62	Professional	26	$11.05	$18.39	$23.62
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.06 / $41.47 / $50.01	Professional	TC	$27.06	$41.47	$50.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $61.53 / $105.57	Professional		$45.55	$61.53	$105.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.49 / $17.85 / $30.35	Professional	26	$14.49	$17.85	$30.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.83 / $43.69 / $73.11	Professional	TC	$31.83	$43.69	$73.11
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $48.57 / $58.79	Professional		$39.97	$48.57	$58.79
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $12.19 / $14.43 / $26.49	Professional	26	$12.19	$14.43	$26.49
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $26.89 / $34.68 / $59.27	Professional	TC	$26.89	$34.68	$59.27
Health New England Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $24.58 / $84.21	Professional		$19.50	$24.58	$84.21
United Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $56.94 / $90.55	Professional		$35.79	$56.94	$90.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.08 / $18.89 / $28.83	Professional	26	$12.08	$18.89	$28.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.91 / $40.20 / $61.72	Professional	TC	$23.91	$40.20	$61.72