Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $36.31 / $42.66	Facility	26	$12.59	$36.31	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $39.81 / $128.82	Professional		$23.99	$39.81	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.96 / $34.67	Professional	26	$7.08	$10.96	$34.67
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.20 / $33.88 / $93.33	Professional	52	$30.20	$33.88	$93.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $24.55 / $63.10	Professional	TC	$15.14	$24.55	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $46.77 / $72.44	Professional		$23.99	$46.77	$72.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $13.18 / $20.42	Professional	26	$7.24	$13.18	$20.42
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $33.11 / $50.12	Professional	TC	$16.98	$33.11	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $51.29 / $83.18	Professional		$33.88	$51.29	$83.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $13.49 / $23.44	Professional	26	$9.12	$13.49	$23.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $37.15 / $61.66	Professional	TC	$22.39	$37.15	$61.66
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $52.48	Professional		$38.02	$44.67	$52.48
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $12.88 / $15.49	Professional	26	$10.47	$12.88	$15.49
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $30.90 / $37.15	Professional	TC	$25.12	$30.90	$37.15
Health New England Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $46.77 / $52.48	Professional		$15.14	$46.77	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $63.10	Professional		$26.92	$38.90	$63.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.22 / $18.62	Professional	26	$7.94	$11.22	$18.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $26.92 / $45.71	Professional	TC	$18.62	$26.92	$45.71