Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.69 / $27.07 / $35.22	Facility	26	$8.69	$27.07	$35.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $61.37 / $152.00	Professional		$25.25	$61.37	$152.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.96 / $11.72 / $52.48	Professional	26	$6.96	$11.72	$52.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $48.60 / $48.60 / $85.90	Professional	50	$48.60	$48.60	$85.90
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.49 / $14.97 / $91.43	Professional	52	$10.49	$14.97	$91.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.00 / $22.29 / $106.00	Professional	TC	$15.00	$22.29	$106.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $41.57 / $50.66	Professional		$25.87	$41.57	$50.66
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.71 / $11.16 / $14.27	Professional	26	$6.71	$11.16	$14.27
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $38.79 / $63.02 / $76.00	Professional	50	$38.79	$63.02	$76.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.16 / $30.32 / $37.52	Professional	TC	$19.16	$30.32	$37.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.25 / $41.77 / $70.27	Professional		$31.25	$41.77	$70.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.83 / $10.83 / $17.88	Professional	26	$8.83	$10.83	$17.88
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $39.76 / $39.76 / $39.76	Professional	50	$39.76	$39.76	$39.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.03 / $30.94 / $57.79	Professional	TC	$22.03	$30.94	$57.79
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $32.47 / $39.96	Professional		$27.94	$32.47	$39.96
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $8.77 / $15.95	Professional	26	$7.51	$8.77	$15.95
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $20.43 / $24.45 / $41.71	Professional	TC	$20.43	$24.45	$41.71
Health New England Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $15.36 / $51.01	Professional		$7.68	$15.36	$51.01
United Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $41.12 / $62.35	Professional		$25.87	$41.12	$62.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.06 / $11.38 / $17.47	Professional	26	$7.06	$11.38	$17.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.73 / $29.22 / $44.88	Professional	TC	$17.73	$29.22	$44.88