Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.33 / $26.45 / $35.22	Facility	26	$8.33	$26.45	$35.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $24.37 / $62.49	Professional		$17.16	$24.37	$62.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.86 / $8.33 / $41.42	Professional	26	$5.86	$8.33	$41.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.30 / $16.03 / $46.62	Professional	TC	$11.30	$16.03	$46.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $35.10 / $42.93	Professional		$22.70	$35.10	$42.93
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.80 / $10.89 / $13.67	Professional	26	$6.80	$10.89	$13.67
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.42 / $24.00 / $29.79	Professional	TC	$15.42	$24.00	$29.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.12 / $35.65 / $60.05	Professional		$28.12	$35.65	$60.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.44 / $10.47 / $17.12	Professional	26	$8.44	$10.47	$17.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.23 / $25.03 / $44.27	Professional	TC	$19.23	$25.03	$44.27
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $28.68 / $34.70	Professional		$24.11	$28.68	$34.70
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $7.22 / $8.77 / $15.95	Professional	26	$7.22	$8.77	$15.95
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $16.34 / $19.73 / $33.61	Professional	TC	$16.34	$19.73	$33.61
Health New England Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $13.52 / $24.19	Professional		$11.20	$13.52	$24.19
United Facility/Professional Professional Modifier Low / Median / High Price $21.13 / $34.86 / $50.13	Professional		$21.13	$34.86	$50.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.67 / $11.38 / $17.47	Professional	26	$6.67	$11.38	$17.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $23.49 / $36.07	Professional	TC	$13.80	$23.49	$36.07