Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $36.27 / $42.68	Facility	26	$10.23	$36.27	$42.68
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.50 / $73.53 / $102.68	Facility	TC	$25.50	$73.53	$102.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $44.61 / $157.00	Professional		$23.04	$44.61	$157.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.17 / $11.74 / $49.00	Professional	26	$7.17	$11.74	$49.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.19 / $22.83 / $96.00	Professional	TC	$16.19	$22.83	$96.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.48 / $44.47 / $54.32	Professional		$30.48	$44.47	$54.32
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.06 / $13.20 / $16.42	Professional	26	$8.06	$13.20	$16.42
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.41 / $31.08 / $38.84	Professional	TC	$22.41	$31.08	$38.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $45.67 / $73.75	Professional		$35.11	$45.67	$73.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.37 / $12.94 / $21.02	Professional	26	$10.37	$12.94	$21.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.10 / $31.79 / $54.19	Professional	TC	$24.10	$31.79	$54.19
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $30.55 / $37.93 / $46.96	Professional		$30.55	$37.93	$46.96
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $10.30 / $18.72	Professional	26	$8.46	$10.30	$18.72
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $28.79 / $49.15	Professional	TC	$19.05	$28.79	$49.15
Health New England Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $27.08 / $50.81	Professional		$13.16	$27.08	$50.81
United Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $46.06 / $67.23	Professional		$27.30	$46.06	$67.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $13.47 / $20.54	Professional	26	$8.52	$13.47	$20.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.05 / $32.36 / $49.71	Professional	TC	$20.05	$32.36	$49.71