Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.10 / $32.25 / $37.95	Facility	26	$9.10	$32.25	$37.95
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.60 / $65.48 / $91.61	Facility	TC	$24.60	$65.48	$91.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $31.13 / $130.00	Professional		$21.88	$31.13	$130.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.39 / $9.10 / $27.90	Professional	26	$6.39	$9.10	$27.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.20 / $22.03 / $46.71	Professional	TC	$15.20	$22.03	$46.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.42 / $40.54 / $50.49	Professional		$27.42	$40.54	$50.49
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.20 / $11.74 / $14.59	Professional	26	$7.20	$11.74	$14.59
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.21 / $28.07 / $35.57	Professional	TC	$20.21	$28.07	$35.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $42.02 / $66.93	Professional		$33.04	$42.02	$66.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.23 / $11.49 / $18.69	Professional	26	$9.23	$11.49	$18.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.05 / $29.97 / $48.77	Professional	TC	$23.05	$29.97	$48.77
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $28.74 / $35.59 / $41.98	Professional		$28.74	$35.59	$41.98
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $9.16 / $16.63	Professional	26	$7.51	$9.16	$16.63
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $18.38 / $25.64 / $43.74	Professional	TC	$18.38	$25.64	$43.74
Health New England Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $16.98 / $24.28	Professional		$11.57	$16.98	$24.28
United Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $41.43 / $64.76	Professional		$26.55	$41.43	$64.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.36 / $11.90 / $18.27	Professional	26	$7.36	$11.90	$18.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.09 / $29.30 / $46.49	Professional	TC	$18.09	$29.30	$46.49