Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.49 / $42.66 / $50.12	Facility	26	$13.49	$42.66	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $53.70 / $208.93	Professional		$32.36	$53.70	$208.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $15.14 / $36.31	Professional	26	$8.91	$15.14	$36.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $33.11 / $85.11	Professional	TC	$21.88	$33.11	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $57.54 / $85.11	Professional		$36.31	$57.54	$85.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $15.14 / $22.39	Professional	26	$10.23	$15.14	$22.39
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $43.65 / $61.66	Professional	TC	$26.30	$43.65	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $66.07 / $112.20	Professional		$42.66	$66.07	$112.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $15.85 / $25.70	Professional	26	$9.77	$15.85	$25.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $48.98 / $87.10	Professional	TC	$27.54	$48.98	$87.10
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $67.61	Professional		$50.12	$58.88	$67.61
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $14.45 / $17.38	Professional	26	$10.96	$14.45	$17.38
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $45.71 / $54.95	Professional	TC	$38.02	$45.71	$54.95
Health New England Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.62 / $66.07	Professional		$15.49	$18.62	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $51.29 / $81.28	Professional		$33.88	$51.29	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $12.88 / $21.88	Professional	26	$8.51	$12.88	$21.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $38.02 / $61.66	Professional	TC	$24.55	$38.02	$61.66