Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $58.88 / $67.61	Facility	26	$21.88	$58.88	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $302.00	Professional		$51.29	$79.43	$302.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $22.39 / $67.61	Professional	26	$12.88	$22.39	$67.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $50.12 / $134.90	Professional	TC	$34.67	$50.12	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $89.13 / $128.82	Professional		$53.70	$89.13	$128.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $21.88 / $33.88	Professional	26	$11.22	$21.88	$33.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $67.61 / $93.33	Professional	TC	$39.81	$67.61	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $93.33 / $158.49	Professional		$60.26	$93.33	$158.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $23.44 / $40.74	Professional	26	$15.85	$23.44	$40.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $69.18 / $138.04	Professional	TC	$38.90	$69.18	$138.04
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $97.72	Professional		$67.61	$79.43	$97.72
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $19.95 / $26.30	Professional	26	$16.98	$19.95	$26.30
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $66.07 / $83.18	Professional	TC	$50.12	$66.07	$83.18
Health New England Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $100.00	Professional		$20.42	$25.70	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $74.13 / $123.03	Professional		$50.12	$74.13	$123.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $18.20 / $30.90	Professional	26	$12.59	$18.20	$30.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $54.95 / $95.50	Professional	TC	$36.31	$54.95	$95.50