Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.10 / $37.63 / $47.53	Facility	26	$12.10	$37.63	$47.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $39.72 / $111.82	Professional		$28.19	$39.72	$111.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $12.10 / $34.20	Professional	26	$8.52	$12.10	$34.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.66 / $29.10 / $98.13	Professional	TC	$19.66	$29.10	$98.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $58.83 / $71.59	Professional		$37.15	$58.83	$71.59
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $15.40 / $19.85	Professional	26	$10.35	$15.40	$19.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.50 / $42.51 / $51.28	Professional	TC	$25.50	$42.51	$51.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $59.90 / $97.10	Professional		$44.41	$59.90	$97.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.80 / $14.57 / $24.03	Professional	26	$11.80	$14.57	$24.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.64 / $44.86 / $73.11	Professional	TC	$33.64	$44.86	$73.11
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $38.28 / $46.46 / $57.63	Professional		$38.28	$46.46	$57.63
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $11.79 / $21.58	Professional	26	$10.00	$11.79	$21.58
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $26.89 / $36.27 / $61.97	Professional	TC	$26.89	$36.27	$61.97
Health New England Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $20.69 / $64.98	Professional		$19.66	$20.69	$64.98
United Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $57.60 / $84.25	Professional		$34.79	$57.60	$84.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.82 / $15.95 / $28.28	Professional	26	$9.82	$15.95	$28.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.83 / $42.05 / $64.14	Professional	TC	$24.83	$42.05	$64.14