Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.57 / $52.31 / $61.55	Facility	26	$15.57	$52.31	$61.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $57.58 / $156.80	Professional		$40.60	$57.58	$156.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.97 / $15.57 / $48.25	Professional	26	$10.97	$15.57	$48.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.18 / $42.01 / $213.67	Professional	TC	$30.18	$42.01	$213.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $77.72 / $96.16	Professional		$54.95	$77.72	$96.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.43 / $19.80 / $24.17	Professional	26	$11.43	$19.80	$24.17
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $82.43 / $113.06 / $144.24	Professional	50	$82.43	$113.06	$144.24
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.85 / $57.44 / $76.01	Professional	TC	$42.85	$57.44	$76.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $81.15 / $134.16	Professional		$61.31	$81.15	$134.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.94 / $19.47 / $31.17	Professional	26	$14.94	$19.47	$31.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.54 / $58.98 / $103.61	Professional	TC	$44.54	$58.98	$103.61
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $66.59 / $84.90	Professional		$53.49	$66.59	$84.90
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $12.85 / $15.28 / $27.68	Professional	26	$12.85	$15.28	$27.68
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $35.40 / $55.12 / $95.74	Professional	TC	$35.40	$55.12	$95.74
Health New England Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $39.22 / $127.38	Professional		$19.01	$39.22	$127.38
United Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $80.90 / $139.78	Professional		$49.35	$80.90	$139.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.35 / $19.70 / $29.63	Professional	26	$12.35	$19.70	$29.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.47 / $59.65 / $95.57	Professional	TC	$36.47	$59.65	$95.57