Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $56.23 / $66.07	Facility	26	$16.60	$56.23	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $50.12 / $199.53	Professional		$33.88	$50.12	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $16.98 / $45.71	Professional	26	$10.23	$16.98	$45.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $30.20 / $81.28	Professional	TC	$20.89	$30.20	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $58.88 / $89.13	Professional		$37.15	$58.88	$89.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $18.20 / $27.54	Professional	26	$10.96	$18.20	$27.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $39.81 / $57.54	Professional	TC	$25.70	$39.81	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $63.10 / $107.15	Professional		$41.69	$63.10	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $19.05 / $32.36	Professional	26	$12.88	$19.05	$32.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $43.65 / $87.10	Professional	TC	$23.99	$43.65	$87.10
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $51.29 / $66.07	Professional		$41.69	$51.29	$66.07
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $18.20 / $21.88	Professional	26	$12.30	$18.20	$21.88
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $42.66 / $51.29	Professional	TC	$28.18	$42.66	$51.29
Health New England Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.95 / $70.79	Professional		$19.50	$19.95	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $52.48 / $87.10	Professional		$35.48	$52.48	$87.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $16.98 / $28.18	Professional	26	$11.22	$16.98	$28.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $33.88 / $60.26	Professional	TC	$23.99	$33.88	$60.26