Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $63.10 / $87.10	Facility	26	$19.50	$63.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $309.03	Professional		$56.23	$87.10	$309.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $22.91 / $70.79	Professional	26	$12.88	$22.91	$70.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $52.48 / $144.54	Professional	TC	$38.90	$52.48	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $128.82	Professional		$61.66	$87.10	$128.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $21.38 / $30.90	Professional	26	$13.18	$21.38	$30.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $64.57 / $97.72	Professional	TC	$48.98	$64.57	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $162.18	Professional		$64.57	$97.72	$162.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $21.88 / $39.81	Professional	26	$15.14	$21.88	$39.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $74.13 / $128.82	Professional	TC	$47.86	$74.13	$128.82
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $81.28 / $107.15	Professional		$66.07	$81.28	$107.15
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $20.42 / $24.55	Professional	26	$14.45	$20.42	$24.55
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $77.62 / $97.72	Professional	TC	$43.65	$77.62	$97.72
Health New England Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $109.65	Professional		$21.38	$26.92	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $138.04	Professional		$52.48	$83.18	$138.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $18.62 / $30.90	Professional	26	$13.18	$18.62	$30.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $63.10 / $109.65	Professional	TC	$40.74	$63.10	$109.65