Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $34.11 / $42.86	Facility	26	$10.96	$34.11	$42.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.88 / $34.42 / $161.00	Professional		$22.88	$34.42	$161.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.68 / $11.91 / $33.83	Professional	26	$7.68	$11.91	$33.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.29 / $23.44 / $113.00	Professional	TC	$15.29	$23.44	$113.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $47.87 / $59.43	Professional		$30.35	$47.87	$59.43
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.35 / $13.95 / $17.98	Professional	26	$9.35	$13.95	$17.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.04 / $34.70 / $41.25	Professional	TC	$20.04	$34.70	$41.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.93 / $49.26 / $84.43	Professional		$39.93	$49.26	$84.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $13.35 / $22.52	Professional	26	$10.72	$13.35	$22.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.42 / $36.10 / $60.49	Professional	TC	$28.42	$36.10	$60.49
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $33.08 / $41.40 / $51.88	Professional		$33.08	$41.40	$51.88
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $9.06 / $10.65 / $19.47	Professional	26	$9.06	$10.65	$19.47
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $22.47 / $28.39 / $48.47	Professional	TC	$22.47	$28.39	$48.47
Health New England Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $51.83 / $54.27	Professional		$13.64	$51.83	$54.27
United Facility/Professional Professional Modifier Low / Median / High Price $29.05 / $46.48 / $72.53	Professional		$29.05	$46.48	$72.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.83 / $14.45 / $22.04	Professional	26	$8.83	$14.45	$22.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.13 / $33.10 / $50.49	Professional	TC	$21.13	$33.10	$50.49