Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.80 / $57.66 / $66.08	Facility	26	$17.80	$57.66	$66.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.22 / $80.73 / $347.00	Professional		$49.22	$80.73	$347.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.51 / $17.91 / $55.57	Professional	26	$12.51	$17.91	$55.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.83 / $57.06 / $254.00	Professional	TC	$36.83	$57.06	$254.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.39 / $95.26 / $116.15	Professional		$55.39	$95.26	$116.15
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.55 / $24.06 / $29.33	Professional	26	$12.55	$24.06	$29.33
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.85 / $71.31 / $86.81	Professional	TC	$42.85	$71.31	$86.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.87 / $94.51 / $155.69	Professional		$72.87	$94.51	$155.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.64 / $22.67 / $38.42	Professional	26	$17.64	$22.67	$38.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.24 / $71.40 / $130.79	Professional	TC	$54.24	$71.40	$130.79
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $69.48 / $83.70 / $93.73	Professional		$69.48	$83.70	$93.73
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $17.55 / $30.49	Professional	26	$16.22	$17.55	$30.49
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $53.28 / $56.53 / $94.40	Professional	TC	$53.28	$56.53	$94.40
Health New England Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $33.79 / $120.41	Professional		$31.35	$33.79	$120.41
United Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $86.58 / $132.08	Professional		$52.49	$86.58	$132.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.63 / $21.27 / $32.65	Professional	26	$13.63	$21.27	$32.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.04 / $65.17 / $99.42	Professional	TC	$39.04	$65.17	$99.42