Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.48 / $44.67 / $52.48	Facility	26	$11.48	$44.67	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $46.77 / $173.78	Professional		$30.90	$46.77	$173.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $14.13 / $30.90	Professional	26	$7.94	$14.13	$30.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.84 / $85.11	Professional	TC	$20.89	$28.84	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $51.29 / $81.28	Professional		$32.36	$51.29	$81.28
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $13.49 / $21.38	Professional	26	$8.51	$13.49	$21.38
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $37.15 / $53.70	Professional	TC	$23.99	$37.15	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $54.95 / $93.33	Professional		$35.48	$54.95	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $14.45 / $23.44	Professional	26	$9.12	$14.45	$23.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $40.74 / $83.18	Professional	TC	$22.91	$40.74	$83.18
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $43.65 / $56.23	Professional		$35.48	$43.65	$56.23
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $13.80 / $16.98	Professional	26	$8.71	$13.80	$16.98
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $38.90 / $48.98	Professional	TC	$25.70	$38.90	$48.98
Health New England Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $17.78 / $83.18	Professional		$15.14	$17.78	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $45.71 / $77.62	Professional		$29.51	$45.71	$77.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $12.88 / $21.88	Professional	26	$8.32	$12.88	$21.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $32.36 / $56.23	Professional	TC	$20.89	$32.36	$56.23