Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.48 / $36.31 / $51.29	Facility	26	$11.48	$36.31	$51.29
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $51.29 / $77.62 / $107.15	Facility	TC	$51.29	$77.62	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $37.15 / $141.25	Professional		$19.05	$37.15	$141.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $12.02 / $31.62	Professional	26	$7.08	$12.02	$31.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $22.91 / $53.70	Professional	TC	$15.85	$22.91	$53.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $41.69 / $61.66	Professional		$28.84	$41.69	$61.66
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.88 / $18.20	Professional	26	$7.94	$12.88	$18.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.84 / $42.66	Professional	TC	$20.89	$28.84	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $75.86	Professional		$30.20	$45.71	$75.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $13.18 / $23.44	Professional	26	$9.12	$13.18	$23.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $32.36 / $56.23	Professional	TC	$20.42	$32.36	$56.23
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.02 / $50.12	Professional		$30.90	$38.02	$50.12
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $12.30 / $14.79	Professional	26	$8.51	$12.30	$14.79
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $33.88 / $42.66	Professional	TC	$19.05	$33.88	$42.66
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.60 / $63.10	Professional		$12.88	$16.60	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.90 / $64.57	Professional		$25.12	$38.90	$64.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.96 / $18.20	Professional	26	$7.76	$10.96	$18.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $26.92 / $46.77	Professional	TC	$17.38	$26.92	$46.77