Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.40 / $51.00 / $60.02	Facility	26	$14.40	$51.00	$60.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $43.23 / $183.00	Professional		$30.41	$43.23	$183.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.16 / $19.07 / $70.84	Professional	26	$10.16	$19.07	$70.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.56 / $28.82 / $98.00	Professional	TC	$20.56	$28.82	$98.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.57 / $57.39 / $70.36	Professional		$39.57	$57.39	$70.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.84 / $18.57 / $22.46	Professional	26	$10.84	$18.57	$22.46
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.72 / $38.72 / $49.08	Professional	TC	$28.72	$38.72	$49.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.15 / $58.82 / $96.73	Professional		$46.15	$58.82	$96.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.17 / $18.11 / $30.42	Professional	26	$14.17	$18.11	$30.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.22 / $40.28 / $68.47	Professional	TC	$30.22	$40.28	$68.47
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $40.07 / $49.63 / $60.27	Professional		$40.07	$49.63	$60.27
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $11.87 / $14.06 / $25.78	Professional	26	$11.87	$14.06	$25.78
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $24.17 / $36.27 / $61.97	Professional	TC	$24.17	$36.27	$61.97
Health New England Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $37.36 / $42.00	Professional		$18.02	$37.36	$42.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $56.63 / $92.21	Professional		$34.78	$56.63	$92.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.70 / $19.21 / $27.42	Professional	26	$11.70	$19.21	$27.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.34 / $40.76 / $63.32	Professional	TC	$24.34	$40.76	$63.32