Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.38 / $52.48 / $74.13	Facility	26	$17.38	$52.48	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $64.57 / $199.53	Professional		$39.81	$64.57	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $15.14 / $47.86	Professional	26	$10.96	$15.14	$47.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $42.66 / $128.82	Professional	TC	$30.90	$42.66	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $109.65	Professional		$51.29	$72.44	$109.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $18.62 / $27.54	Professional	26	$11.22	$18.62	$27.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $75.86 / $109.65 / $151.36	Professional	50	$75.86	$109.65	$151.36
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $52.48 / $83.18	Professional	TC	$40.74	$52.48	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $81.28 / $138.04	Professional		$53.70	$81.28	$138.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $19.50 / $35.48	Professional	26	$13.49	$19.50	$35.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $60.26 / $107.15	Professional	TC	$38.90	$60.26	$107.15
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $91.20	Professional		$54.95	$66.07	$91.20
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $18.20 / $21.88	Professional	26	$12.88	$18.20	$21.88
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $67.61 / $85.11	Professional	TC	$35.48	$67.61	$85.11
Health New England Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $102.33 / $128.82	Professional		$21.38	$102.33	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $67.61 / $114.82	Professional		$43.65	$67.61	$114.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $15.85 / $26.30	Professional	26	$11.22	$15.85	$26.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $51.29 / $93.33	Professional	TC	$33.11	$51.29	$93.33