Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.47 / $29.46 / $36.72	Facility	26	$9.47	$29.46	$36.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $31.96 / $150.00	Professional		$22.13	$31.96	$150.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.64 / $10.25 / $45.00	Professional	26	$6.64	$10.25	$45.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.58 / $23.82 / $98.00	Professional	TC	$15.58	$23.82	$98.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.11 / $47.48 / $57.06	Professional		$30.11	$47.48	$57.06
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.00 / $12.03 / $15.53	Professional	26	$7.00	$12.03	$15.53
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.11 / $34.75 / $41.21	Professional	TC	$23.11	$34.75	$41.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.38 / $48.40 / $80.13	Professional		$34.38	$48.40	$80.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $11.43 / $19.45	Professional	26	$9.19	$11.43	$19.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.30 / $34.97 / $58.69	Professional	TC	$24.30	$34.97	$58.69
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $29.41 / $35.90 / $46.68	Professional		$29.41	$35.90	$46.68
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $7.82 / $9.53 / $17.34	Professional	26	$7.82	$9.53	$17.34
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $21.45 / $28.94 / $51.17	Professional	TC	$21.45	$28.94	$51.17
Health New England Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $15.97 / $53.73	Professional		$11.37	$15.97	$53.73
United Facility/Professional Professional Modifier Low / Median / High Price $28.45 / $46.31 / $71.11	Professional		$28.45	$46.31	$71.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.67 / $12.46 / $18.04	Professional	26	$7.67	$12.46	$18.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.01 / $32.85 / $51.54	Professional	TC	$20.01	$32.85	$51.54