Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.73 / $41.41 / $55.28	Facility	26	$11.73	$41.41	$55.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.97 / $58.28 / $210.00	Professional		$29.97	$58.28	$210.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $13.65 / $35.94	Professional	26	$8.27	$13.65	$35.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.69 / $33.78 / $168.00	Professional	TC	$21.69	$33.78	$168.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $63.09 / $75.67	Professional		$38.15	$63.09	$75.67
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.48 / $16.54 / $20.53	Professional	26	$10.48	$16.54	$20.53
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.67 / $46.19 / $54.80	Professional	TC	$27.67	$46.19	$54.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.01 / $61.59 / $103.67	Professional		$44.01	$61.59	$103.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.98 / $15.85 / $26.45	Professional	26	$11.98	$15.85	$26.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.83 / $45.27 / $87.03	Professional	TC	$31.83	$45.27	$87.03
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $41.67 / $48.76 / $58.90	Professional		$41.67	$48.76	$58.90
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $10.68 / $13.70 / $25.06	Professional	26	$10.68	$13.70	$25.06
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $30.98 / $35.47 / $60.63	Professional	TC	$30.98	$35.47	$60.63
Health New England Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $36.42 / $68.23	Professional		$17.55	$36.42	$68.23
United Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $55.88 / $89.88	Professional		$34.50	$55.88	$89.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.36 / $17.80 / $25.98	Professional	26	$10.36	$17.80	$25.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.03 / $40.72 / $62.55	Professional	TC	$24.03	$40.72	$62.55