Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $52.48 / $61.66	Facility	26	$19.05	$52.48	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $72.44 / $239.88	Professional		$44.67	$72.44	$239.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $20.42 / $52.48	Professional	26	$12.02	$20.42	$52.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $45.71 / $123.03	Professional	TC	$30.90	$45.71	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $77.62 / $102.33	Professional		$46.77	$77.62	$102.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $19.50 / $28.84	Professional	26	$10.72	$19.50	$28.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $57.54 / $75.86	Professional	TC	$35.48	$57.54	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $77.62 / $131.83	Professional		$50.12	$77.62	$131.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $19.95 / $35.48	Professional	26	$13.80	$19.95	$35.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $57.54 / $120.23	Professional	TC	$30.90	$57.54	$120.23
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $83.18	Professional		$53.70	$64.57	$83.18
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $18.20 / $23.44	Professional	26	$14.79	$18.20	$23.44
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $57.54 / $72.44	Professional	TC	$38.02	$57.54	$72.44
Health New England Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.84 / $109.65	Professional		$19.05	$28.84	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $63.10 / $104.71	Professional		$40.74	$63.10	$104.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $16.22 / $26.92	Professional	26	$11.22	$16.22	$26.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $44.67 / $81.28	Professional	TC	$28.84	$44.67	$81.28