Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.19 / $36.76 / $49.03	Facility	26	$10.19	$36.76	$49.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $51.48 / $168.00	Professional		$25.81	$51.48	$168.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.15 / $11.46 / $31.26	Professional	26	$7.15	$11.46	$31.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.78 / $27.76 / $95.85	Professional	TC	$18.78	$27.76	$95.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.45 / $55.36 / $65.94	Professional		$35.45	$55.36	$65.94
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.31 / $14.68 / $18.22	Professional	26	$9.31	$14.68	$18.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.15 / $40.76 / $48.12	Professional	TC	$26.15	$40.76	$48.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $55.92 / $90.69	Professional		$40.47	$55.92	$90.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.66 / $14.03 / $23.19	Professional	26	$10.66	$14.03	$23.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.56 / $42.05 / $70.40	Professional	TC	$29.56	$42.05	$70.40
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $43.21 / $54.80	Professional		$35.72	$43.21	$54.80
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $8.76 / $12.16 / $22.29	Professional	26	$8.76	$12.16	$22.29
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $25.87 / $33.90 / $57.93	Professional	TC	$25.87	$33.90	$57.93
Health New England Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $23.30 / $63.40	Professional		$15.58	$23.30	$63.40
United Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $53.21 / $84.39	Professional		$33.26	$53.21	$84.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.60 / $16.41 / $25.06	Professional	26	$9.60	$16.41	$25.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.00 / $38.63 / $59.33	Professional	TC	$23.00	$38.63	$59.33