Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.70 / $36.76 / $49.03	Facility	26	$11.70	$36.76	$49.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $44.11 / $198.00	Professional		$26.87	$44.11	$198.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.18 / $12.57 / $35.85	Professional	26	$8.18	$12.57	$35.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.78 / $30.32 / $148.00	Professional	TC	$18.78	$30.32	$148.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $56.40 / $70.02	Professional		$35.76	$56.40	$70.02
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.31 / $15.15 / $19.20	Professional	26	$9.31	$15.15	$19.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.45 / $41.35 / $50.63	Professional	TC	$26.45	$41.35	$50.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.11 / $57.73 / $94.30	Professional		$45.11	$57.73	$94.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.17 / $14.70 / $24.03	Professional	26	$12.17	$14.70	$24.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.99 / $42.71 / $73.11	Professional	TC	$33.99	$42.71	$73.11
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $46.90 / $57.71	Professional		$38.72	$46.90	$57.71
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.16 / $22.29	Professional	26	$10.00	$12.16	$22.29
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $27.23 / $33.90 / $57.93	Professional	TC	$27.23	$33.90	$57.93
Health New England Facility/Professional Professional Modifier Low / Median / High Price $16.42 / $22.08 / $62.36	Professional		$16.42	$22.08	$62.36
United Facility/Professional Professional Modifier Low / Median / High Price $33.57 / $55.84 / $85.18	Professional		$33.57	$55.84	$85.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $16.42 / $25.05	Professional	26	$10.11	$16.42	$25.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.85 / $39.42 / $60.13	Professional	TC	$23.85	$39.42	$60.13