Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $61.66 / $72.44	Facility	26	$19.95	$61.66	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $58.88 / $257.04	Professional		$41.69	$58.88	$257.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $20.89 / $54.95	Professional	26	$12.59	$20.89	$54.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $38.02 / $93.33	Professional	TC	$25.70	$38.02	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $72.44 / $104.71	Professional		$44.67	$72.44	$104.71
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $20.89 / $31.62	Professional	26	$11.75	$20.89	$31.62
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $51.29 / $72.44	Professional	TC	$31.62	$51.29	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $75.86 / $151.36	Professional		$46.77	$75.86	$151.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $21.88 / $37.15	Professional	26	$14.45	$21.88	$37.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $53.70 / $107.15	Professional	TC	$31.62	$53.70	$107.15
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $64.57 / $79.43	Professional		$52.48	$64.57	$79.43
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $20.42 / $24.55	Professional	26	$14.79	$20.42	$24.55
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $50.12 / $63.10	Professional	TC	$37.15	$50.12	$63.10
Health New England Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.12 / $83.18	Professional		$21.88	$25.12	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $61.66 / $104.71	Professional		$41.69	$61.66	$104.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $18.62 / $30.90	Professional	26	$12.30	$18.62	$30.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $43.65 / $74.13	Professional	TC	$28.84	$43.65	$74.13