Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.03 / $52.31 / $59.91	Facility	26	$17.03	$52.31	$59.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.71 / $99.15 / $232.00	Professional		$47.71	$99.15	$232.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.98 / $20.18 / $56.53	Professional	26	$11.98	$20.18	$56.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.15 / $41.79 / $137.22	Professional	TC	$23.15	$41.79	$137.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $79.80 / $94.84	Professional		$49.95	$79.80	$94.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.87 / $22.13 / $26.98	Professional	26	$11.87	$22.13	$26.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.38 / $57.54 / $71.27	Professional	TC	$37.38	$57.54	$71.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $79.02 / $129.83	Professional		$60.55	$79.02	$129.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.11 / $19.89 / $35.00	Professional	26	$16.11	$19.89	$35.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.53 / $60.36 / $93.17	Professional	TC	$42.53	$60.36	$93.17
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $53.13 / $62.39 / $75.48	Professional		$53.13	$62.39	$75.48
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $14.32 / $14.83 / $27.17	Professional	26	$14.32	$14.83	$27.17
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $37.79 / $48.47 / $82.92	Professional	TC	$37.79	$48.47	$82.92
Health New England Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $40.64 / $95.23	Professional		$19.50	$40.64	$95.23
United Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $71.75 / $108.78	Professional		$49.10	$71.75	$108.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.51 / $19.82 / $29.63	Professional	26	$12.51	$19.82	$29.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.17 / $53.65 / $83.20	Professional	TC	$32.17	$53.65	$83.20