Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.86 / $33.44 / $39.97	Facility	26	$9.86	$33.44	$39.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $42.97 / $153.00	Professional		$23.42	$42.97	$153.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.96 / $9.86 / $30.22	Professional	26	$6.96	$9.86	$30.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $54.58 / $61.24 / $117.10	Professional	50	$54.58	$61.24	$117.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.32 / $23.82 / $118.00	Professional	TC	$16.32	$23.82	$118.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $42.30 / $54.39	Professional		$21.60	$42.30	$54.39
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.60 / $13.47 / $16.42	Professional	26	$7.60	$13.47	$16.42
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $32.40 / $63.45 / $81.33	Professional	50	$32.40	$63.45	$81.33
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.00 / $27.67 / $38.24	Professional	TC	$14.00	$27.67	$38.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.10 / $41.84 / $72.80	Professional		$32.10	$41.84	$72.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.27 / $20.27	Professional	26	$10.00	$12.27	$20.27
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $47.09 / $47.09 / $47.09	Professional	50	$47.09	$47.09	$47.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.42 / $29.71 / $52.54	Professional	TC	$18.42	$29.71	$52.54
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $34.97 / $41.79	Professional		$28.08	$34.97	$41.79
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $8.81 / $9.92 / $18.02	Professional	26	$8.81	$9.92	$18.02
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $17.54 / $21.74 / $30.91	Professional	TC	$17.54	$21.74	$30.91
Health New England Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $18.07 / $38.69	Professional		$13.34	$18.07	$38.69
United Facility/Professional Professional Modifier Low / Median / High Price $24.21 / $39.40 / $61.49	Professional		$24.21	$39.40	$61.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.08 / $12.98 / $19.80	Professional	26	$8.08	$12.98	$19.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.62 / $26.28 / $41.68	Professional	TC	$16.62	$26.28	$41.68