Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.30 / $56.32 / $66.28	Facility	26	$16.30	$56.32	$66.28
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $42.45 / $120.81 / $184.48	Facility	TC	$42.45	$120.81	$184.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $70.56 / $226.00	Professional		$44.14	$70.56	$226.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $21.79 / $66.00	Professional	26	$11.48	$21.79	$66.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.26 / $38.02 / $172.00	Professional	TC	$27.26	$38.02	$172.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.82 / $71.20 / $88.59	Professional		$49.82	$71.20	$88.59
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.28 / $21.03 / $25.52	Professional	26	$12.28	$21.03	$25.52
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $74.73 / $106.82 / $129.58	Professional	50	$74.73	$106.82	$129.58
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.53 / $51.25 / $64.70	Professional	TC	$37.53	$51.25	$64.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.88 / $74.14 / $121.76	Professional		$57.88	$74.14	$121.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.09 / $20.48 / $33.49	Professional	26	$16.09	$20.48	$33.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.92 / $53.31 / $90.27	Professional	TC	$39.92	$53.31	$90.27
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $50.43 / $62.66 / $75.73	Professional		$50.43	$62.66	$75.73
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $13.46 / $15.97 / $29.26	Professional	26	$13.46	$15.97	$29.26
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $32.00 / $47.28 / $80.89	Professional	TC	$32.00	$47.28	$80.89
Health New England Facility/Professional Professional Modifier Low / Median / High Price $20.45 / $47.25 / $105.10	Professional		$20.45	$47.25	$105.10
United Facility/Professional Professional Modifier Low / Median / High Price $42.98 / $70.75 / $115.29	Professional		$42.98	$70.75	$115.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.31 / $20.91 / $31.90	Professional	26	$13.31	$20.91	$31.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.74 / $54.30 / $83.39	Professional	TC	$32.74	$54.30	$83.39