Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $33.88 / $39.81	Facility	26	$10.72	$33.88	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $46.77 / $147.91	Professional		$28.84	$46.77	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.91 / $29.51	Professional	26	$7.08	$8.91	$29.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.90 / $40.74 / $52.48	Professional	50	$38.90	$40.74	$52.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $30.20 / $72.44	Professional	TC	$20.89	$30.20	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $52.48 / $74.13	Professional		$31.62	$52.48	$74.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.75 / $18.20	Professional	26	$7.94	$11.75	$18.20
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $46.77 / $77.62 / $102.33	Professional	50	$46.77	$77.62	$102.33
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $38.90 / $58.88	Professional	TC	$23.99	$38.90	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $52.48 / $97.72	Professional		$33.11	$52.48	$97.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.30 / $19.95	Professional	26	$7.94	$12.30	$19.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $39.81 / $93.33	Professional	TC	$21.88	$39.81	$93.33
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $37.15 / $60.26	Professional		$33.88	$37.15	$60.26
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $11.48 / $13.80	Professional	26	$9.12	$11.48	$13.80
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $45.71 / $58.88	Professional	TC	$24.55	$45.71	$58.88
Health New England Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.14 / $64.57	Professional		$11.75	$15.14	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $79.43	Professional		$30.20	$45.71	$79.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $10.00 / $16.98	Professional	26	$6.76	$10.00	$16.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $36.31 / $63.10	Professional	TC	$21.88	$36.31	$63.10