Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.70 / $40.36 / $45.99	Facility	26	$11.70	$40.36	$45.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.01 / $45.34 / $186.00	Professional		$26.01	$45.34	$186.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.68 / $15.39 / $36.61	Professional	26	$8.68	$15.39	$36.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.32 / $28.02 / $142.00	Professional	TC	$17.32	$28.02	$142.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.24 / $52.92 / $64.52	Professional		$31.24	$52.92	$64.52
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.74 / $16.36 / $19.94	Professional	26	$8.74	$16.36	$19.94
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.50 / $37.17 / $44.06	Professional	TC	$22.50	$37.17	$44.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.10 / $51.91 / $85.38	Professional		$41.10	$51.91	$85.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.31 / $14.54 / $24.85	Professional	26	$12.31	$14.54	$24.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.60 / $38.58 / $69.50	Professional	TC	$29.60	$38.58	$69.50
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $36.18 / $43.23 / $53.96	Professional		$36.18	$43.23	$53.96
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $10.99 / $11.42 / $20.88	Professional	26	$10.99	$11.42	$20.88
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $25.19 / $29.18 / $49.83	Professional	TC	$25.19	$29.18	$49.83
Health New England Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $20.89 / $54.50	Professional		$9.91	$20.89	$54.50
United Facility/Professional Professional Modifier Low / Median / High Price $30.87 / $49.28 / $75.68	Professional		$30.87	$49.28	$75.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.49 / $15.54 / $23.58	Professional	26	$9.49	$15.54	$23.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.04 / $32.85 / $52.10	Professional	TC	$21.04	$32.85	$52.10