Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.10 / $40.36 / $49.11	Facility	26	$12.10	$40.36	$49.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $51.96 / $243.00	Professional		$31.19	$51.96	$243.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.68 / $12.10 / $37.07	Professional	26	$8.68	$12.10	$37.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.86 / $36.60 / $172.00	Professional	TC	$22.86	$36.60	$172.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.70 / $63.51 / $76.56	Professional		$37.70	$63.51	$76.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.49 / $16.84 / $20.32	Professional	26	$10.49	$16.84	$20.32
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.36 / $46.67 / $55.37	Professional	TC	$27.36	$46.67	$55.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.27 / $65.56 / $107.37	Professional		$48.27	$65.56	$107.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.44 / $15.06 / $24.85	Professional	26	$12.44	$15.06	$24.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.00 / $51.24 / $84.82	Professional	TC	$36.00	$51.24	$84.82
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $46.03 / $57.90 / $67.01	Professional		$46.03	$57.90	$67.01
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $10.99 / $12.18 / $22.26	Professional	26	$10.99	$12.18	$22.26
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $34.26 / $40.52 / $60.63	Professional	TC	$34.26	$40.52	$60.63
Health New England Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $16.77 / $65.55	Professional		$15.58	$16.77	$65.55
United Facility/Professional Professional Modifier Low / Median / High Price $37.32 / $57.47 / $87.66	Professional		$37.32	$57.47	$87.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $15.54 / $24.32	Professional	26	$8.52	$15.54	$24.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.97 / $41.25 / $63.34	Professional	TC	$26.97	$41.25	$63.34