Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.36 / $36.57 / $41.48	Facility	26	$11.36	$36.57	$41.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $51.34 / $187.00	Professional		$27.97	$51.34	$187.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $13.26 / $35.58	Professional	26	$8.02	$13.26	$35.58
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.68 / $19.70 / $40.56	Professional	52	$13.68	$19.70	$40.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.39 / $28.02 / $92.94	Professional	TC	$19.39	$28.02	$92.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $51.19 / $69.06	Professional		$26.14	$51.19	$69.06
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.89 / $15.44 / $19.36	Professional	26	$7.89	$15.44	$19.36
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.25 / $36.35 / $50.23	Professional	TC	$18.25	$36.35	$50.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $51.48 / $84.89	Professional		$38.89	$51.48	$84.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.09 / $13.35 / $23.34	Professional	26	$11.09	$13.35	$23.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.01 / $38.32 / $61.55	Professional	TC	$24.01	$38.32	$61.55
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $44.50 / $52.98	Professional		$33.97	$44.50	$52.98
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $10.39 / $18.72	Professional	26	$9.94	$10.39	$18.72
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $22.87 / $27.91 / $40.36	Professional	TC	$22.87	$27.91	$40.36
Health New England Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $13.16 / $52.75	Professional		$13.16	$13.16	$52.75
United Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $45.23 / $64.12	Professional		$29.57	$45.23	$64.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.53 / $13.64 / $20.54	Professional	26	$8.53	$13.64	$20.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.75 / $31.85 / $48.91	Professional	TC	$21.75	$31.85	$48.91