Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $32.36 / $38.02	Facility	26	$10.23	$32.36	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $37.15 / $141.25	Professional		$14.45	$37.15	$141.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $14.79 / $42.66	Professional	26	$7.08	$14.79	$42.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $69.18 / $154.88 / $281.84	Professional	50	$69.18	$154.88	$281.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $25.70 / $75.86	Professional	TC	$16.60	$25.70	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $42.66 / $63.10	Professional		$26.92	$42.66	$63.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $10.96 / $16.60	Professional	26	$6.46	$10.96	$16.60
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $39.81 / $64.57 / $85.11	Professional	50	$39.81	$64.57	$85.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $31.62 / $45.71	Professional	TC	$20.42	$31.62	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $45.71 / $77.62	Professional		$29.51	$45.71	$77.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $11.48 / $19.05	Professional	26	$7.24	$11.48	$19.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $33.88 / $72.44	Professional	TC	$17.78	$33.88	$72.44
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $34.67 / $47.86	Professional		$28.18	$34.67	$47.86
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.96 / $13.18	Professional	26	$7.59	$10.96	$13.18
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $34.67 / $43.65	Professional	TC	$20.89	$34.67	$43.65
Health New England Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.13 / $61.66	Professional		$11.48	$14.13	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $38.02 / $63.10	Professional		$24.55	$38.02	$63.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $9.77 / $16.22	Professional	26	$6.46	$9.77	$16.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $27.54 / $48.98	Professional	TC	$17.78	$27.54	$48.98