Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.70 / $40.21 / $53.66	Facility	26	$11.70	$40.21	$53.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $43.32 / $153.40	Professional		$30.65	$43.32	$153.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.18 / $11.70 / $35.85	Professional	26	$8.18	$11.70	$35.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $31.62 / $97.55	Professional	TC	$22.57	$31.62	$97.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $65.06 / $78.86	Professional		$40.27	$65.06	$78.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.18 / $16.05 / $19.94	Professional	26	$10.18	$16.05	$19.94
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.09 / $49.88 / $59.21	Professional	TC	$30.09	$49.88	$59.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.65 / $66.06 / $103.63	Professional		$51.65	$66.06	$103.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.38 / $14.86 / $25.68	Professional	26	$12.38	$14.86	$25.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.59 / $52.13 / $92.94	Professional	TC	$39.59	$52.13	$92.94
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $46.16 / $55.77 / $68.13	Professional		$46.16	$55.77	$68.13
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $13.30 / $24.40	Professional	26	$10.00	$13.30	$24.40
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $34.39 / $39.02 / $66.70	Professional	TC	$34.39	$39.02	$66.70
Health New England Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $19.66 / $19.66	Professional		$16.57	$19.66	$19.66
United Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $62.18 / $90.31	Professional		$38.15	$62.18	$90.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.63 / $17.36 / $26.54	Professional	26	$10.63	$17.36	$26.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.26 / $43.46 / $68.95	Professional	TC	$27.26	$43.46	$68.95