Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.10 / $28.31 / $36.85	Facility	26	$9.10	$28.31	$36.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $43.80 / $143.00	Professional		$23.46	$43.80	$143.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $18.77 / $46.92	Professional	26	$7.03	$18.77	$46.92
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $17.14 / $34.29 / $132.26	Professional	50	$17.14	$34.29	$132.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.29 / $29.80 / $109.00	Professional	TC	$15.29	$29.80	$109.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $46.35 / $55.18	Professional		$29.51	$46.35	$55.18
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.01 / $11.67 / $14.92	Professional	26	$7.01	$11.67	$14.92
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $44.26 / $66.20 / $81.59	Professional	50	$44.26	$66.20	$81.59
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.50 / $33.83 / $39.97	Professional	TC	$22.50	$33.83	$39.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $46.97 / $75.88	Professional		$33.52	$46.97	$75.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.86 / $11.16 / $18.69	Professional	26	$8.86	$11.16	$18.69
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $42.89 / $42.89 / $42.89	Professional	50	$42.89	$42.89	$42.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.30 / $34.56 / $57.79	Professional	TC	$24.30	$34.56	$57.79
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $28.28 / $34.54 / $44.26	Professional		$28.28	$34.54	$44.26
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $9.16 / $16.63	Professional	26	$7.51	$9.16	$16.63
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $20.77 / $28.62 / $49.83	Professional	TC	$20.77	$28.62	$49.83
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $16.64 / $99.62	Professional		$12.58	$16.64	$99.62
United Facility/Professional Professional Modifier Low / Median / High Price $27.28 / $44.59 / $65.94	Professional		$27.28	$44.59	$65.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.37 / $11.90 / $18.27	Professional	26	$7.37	$11.90	$18.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.70 / $32.70 / $51.30	Professional	TC	$19.70	$32.70	$51.30