Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.73 / $25.92 / $33.72	Facility	26	$8.73	$25.92	$33.72
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.80 / $43.35 / $60.54	Facility	TC	$18.80	$43.35	$60.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $33.17 / $91.78	Professional		$17.96	$33.17	$91.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.87 / $8.73 / $31.98	Professional	26	$5.87	$8.73	$31.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $45.36 / $45.36 / $45.36	Professional	50	$45.36	$45.36	$45.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.09 / $18.09 / $82.00	Professional	TC	$12.09	$18.09	$82.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $34.64 / $42.23	Professional		$19.52	$34.64	$42.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.43 / $10.69 / $13.67	Professional	26	$6.43	$10.69	$13.67
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $29.28 / $51.96 / $61.65	Professional	50	$29.28	$51.96	$61.65
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.09 / $24.06 / $29.33	Professional	TC	$13.09	$24.06	$29.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $35.13 / $56.28	Professional		$26.42	$35.13	$56.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $10.37 / $17.94	Professional	26	$8.36	$10.37	$17.94
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.06 / $35.06 / $35.06	Professional	50	$35.06	$35.06	$35.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.22 / $25.40 / $41.07	Professional	TC	$17.22	$25.40	$41.07
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $23.89 / $29.15 / $37.47	Professional		$23.89	$29.15	$37.47
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $7.22 / $8.39 / $15.25	Professional	26	$7.22	$8.39	$15.25
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $16.41 / $16.98 / $28.89	Professional	TC	$16.41	$16.98	$28.89
Health New England Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $13.52 / $34.20	Professional		$10.71	$13.52	$34.20
United Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $32.79 / $47.17	Professional		$20.99	$32.79	$47.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.95 / $11.22 / $16.73	Professional	26	$6.95	$11.22	$16.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.73 / $19.96 / $30.44	Professional	TC	$13.73	$19.96	$30.44