Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.43 / $60.38 / $71.05	Facility	26	$17.43	$60.38	$71.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.80 / $70.18 / $275.00	Professional		$44.80	$70.18	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.26 / $17.43 / $52.57	Professional	26	$12.26	$17.43	$52.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.79 / $45.76 / $154.69	Professional	TC	$32.79	$45.76	$154.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.97 / $83.60 / $102.95	Professional		$56.97	$83.60	$102.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.13 / $22.49 / $27.41	Professional	26	$13.13	$22.49	$27.41
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.15 / $60.88 / $76.01	Professional	TC	$44.15	$60.88	$76.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.11 / $86.22 / $141.44	Professional		$67.11	$86.22	$141.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.28 / $21.90 / $35.82	Professional	26	$17.28	$21.90	$35.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.93 / $64.06 / $106.05	Professional	TC	$47.93	$64.06	$106.05
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $72.76 / $87.27	Professional		$58.60	$72.76	$87.27
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $14.39 / $17.16 / $31.20	Professional	26	$14.39	$17.16	$31.20
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $38.47 / $55.55 / $95.06	Professional	TC	$38.47	$55.55	$95.06
Health New England Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $46.44 / $148.01	Professional		$21.92	$46.44	$148.01
United Facility/Professional Professional Modifier Low / Median / High Price $50.92 / $82.72 / $131.19	Professional		$50.92	$82.72	$131.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.29 / $22.74 / $34.20	Professional	26	$14.29	$22.74	$34.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.11 / $63.17 / $97.00	Professional	TC	$37.11	$63.17	$97.00