Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $50.12 / $58.88	Facility	26	$19.05	$50.12	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $70.79 / $251.19	Professional		$44.67	$70.79	$251.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $19.50 / $58.88	Professional	26	$10.96	$19.50	$58.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $45.71 / $120.23	Professional	TC	$30.90	$45.71	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $70.79 / $104.71	Professional		$43.65	$70.79	$104.71
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $18.62 / $28.84	Professional	26	$9.77	$18.62	$28.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $51.29 / $75.86	Professional	TC	$32.36	$51.29	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $75.86 / $131.83	Professional		$51.29	$75.86	$131.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $19.95 / $35.48	Professional	26	$13.80	$19.95	$35.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $56.23 / $114.82	Professional	TC	$33.11	$56.23	$114.82
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $83.18	Professional		$54.95	$66.07	$83.18
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $17.78 / $23.44	Professional	26	$14.79	$17.78	$23.44
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $56.23 / $70.79	Professional	TC	$39.81	$56.23	$70.79
Health New England Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $29.51 / $100.00	Professional		$18.62	$29.51	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $60.26 / $102.33	Professional		$41.69	$60.26	$102.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $15.49 / $26.30	Professional	26	$10.96	$15.49	$26.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $44.67 / $77.62	Professional	TC	$29.51	$44.67	$77.62