Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.50 / $33.44 / $38.47	Facility	26	$9.50	$33.44	$38.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $48.08 / $177.00	Professional		$25.75	$48.08	$177.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.96 / $9.50 / $29.44	Professional	26	$6.96	$9.50	$29.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.06 / $30.42 / $131.00	Professional	TC	$21.06	$30.42	$131.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $56.99 / $67.86	Professional		$36.19	$56.99	$67.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $13.73 / $17.01	Professional	26	$8.09	$13.73	$17.01
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $54.28 / $81.06 / $100.34	Professional	50	$54.28	$81.06	$100.34
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.69 / $42.85 / $52.85	Professional	TC	$27.69	$42.85	$52.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $51.42 / $97.35	Professional		$33.39	$51.42	$97.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.78 / $11.71 / $19.51	Professional	26	$9.78	$11.71	$19.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.94 / $39.54 / $73.14	Professional	TC	$22.94	$39.54	$73.14
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $37.33 / $51.94	Professional		$32.86	$37.33	$51.94
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $9.15 / $9.56 / $17.30	Professional	26	$9.15	$9.56	$17.30
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $24.51 / $36.17 / $64.00	Professional	TC	$24.51	$36.17	$64.00
Health New England Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $24.02 / $137.38	Professional		$11.69	$24.02	$137.38
United Facility/Professional Professional Modifier Low / Median / High Price $31.34 / $52.84 / $81.76	Professional		$31.34	$52.84	$81.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.87 / $12.42 / $22.18	Professional	26	$7.87	$12.42	$22.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.90 / $42.56 / $67.33	Professional	TC	$24.90	$42.56	$67.33