Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $46.77 / $54.95	Facility	26	$13.18	$46.77	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.77 / $123.03	Professional		$33.88	$46.77	$123.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.30 / $33.88	Professional	26	$8.91	$12.30	$33.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $33.11 / $74.13	Professional	TC	$22.91	$33.11	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $60.26 / $93.33	Professional		$38.02	$60.26	$93.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $15.49 / $23.44	Professional	26	$9.33	$15.49	$23.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $45.71 / $64.57	Professional	TC	$28.18	$45.71	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $66.07 / $109.65	Professional		$41.69	$66.07	$109.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $15.85 / $26.30	Professional	26	$10.00	$15.85	$26.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $50.12 / $95.50	Professional	TC	$28.84	$50.12	$95.50
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $56.23 / $69.18	Professional		$45.71	$56.23	$69.18
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $15.49 / $18.62	Professional	26	$10.00	$15.49	$18.62
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $47.86 / $56.23	Professional	TC	$34.67	$47.86	$56.23
Health New England Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $16.98	Professional		$16.60	$16.60	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $53.70 / $87.10	Professional		$36.31	$53.70	$87.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $14.13 / $23.44	Professional	26	$9.12	$14.13	$23.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $38.90 / $64.57	Professional	TC	$26.30	$38.90	$64.57