Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.43 / $61.75 / $72.67	Facility	26	$17.43	$61.75	$72.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.46 / $90.95 / $306.00	Professional		$49.46	$90.95	$306.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.36 / $24.91 / $86.63	Professional	26	$14.36	$24.91	$86.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.46 / $52.00 / $237.00	Professional	TC	$37.46	$52.00	$237.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.86 / $92.45 / $113.47	Professional		$65.86	$92.45	$113.47
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.51 / $22.49 / $27.41	Professional	26	$13.51	$22.49	$27.41
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.34 / $70.34 / $89.48	Professional	TC	$52.34	$70.34	$89.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.88 / $96.94 / $157.35	Professional		$73.88	$96.94	$157.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.28 / $21.90 / $35.82	Professional	26	$17.28	$21.90	$35.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $73.14 / $124.84	Professional	TC	$54.95	$73.14	$124.84
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $64.58 / $80.47 / $99.11	Professional		$64.58	$80.47	$99.11
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $14.39 / $17.16 / $31.20	Professional	26	$14.39	$17.16	$31.20
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $43.93 / $65.38 / $111.96	Professional	TC	$43.93	$65.38	$111.96
Health New England Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $47.41 / $110.56	Professional		$21.92	$47.41	$110.56
United Facility/Professional Professional Modifier Low / Median / High Price $59.57 / $96.00 / $150.44	Professional		$59.57	$96.00	$150.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.53 / $22.78 / $34.97	Professional	26	$14.53	$22.78	$34.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.27 / $75.19 / $115.46	Professional	TC	$46.27	$75.19	$115.46