Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.66 / $58.39 / $64.45	Facility	26	$19.66	$58.39	$64.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.84 / $76.00 / $322.00	Professional		$43.84	$76.00	$322.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.79 / $21.96 / $88.94	Professional	26	$13.79	$21.96	$88.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.14 / $53.41 / $262.00	Professional	TC	$30.14	$53.41	$262.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.61 / $98.63 / $117.02	Professional		$56.61	$98.63	$117.02
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.55 / $25.98 / $31.67	Professional	26	$12.55	$25.98	$31.67
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.06 / $73.34 / $86.29	Professional	TC	$44.06	$73.34	$86.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $93.21 / $153.94	Professional		$73.95	$93.21	$153.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.14 / $22.24 / $39.75	Professional	26	$18.14	$22.24	$39.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.41 / $71.50 / $121.78	Professional	TC	$53.41	$71.50	$121.78
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $66.67 / $77.98 / $90.40	Professional		$66.67	$77.98	$90.40
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $15.84 / $17.23 / $29.81	Professional	26	$15.84	$17.23	$29.81
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $49.73 / $56.33 / $96.43	Professional	TC	$49.73	$56.33	$96.43
Health New England Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $33.18 / $101.01	Professional		$23.10	$33.18	$101.01
United Facility/Professional Professional Modifier Low / Median / High Price $52.93 / $83.28 / $132.08	Professional		$52.93	$83.28	$132.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.12 / $22.32 / $32.65	Professional	26	$14.12	$22.32	$32.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.85 / $64.73 / $99.42	Professional	TC	$38.85	$64.73	$99.42