Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.20 / $23.50 / $29.06	Facility	26	$7.20	$23.50	$29.06
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.84 / $72.09 / $245.67	Facility	TC	$26.84	$72.09	$245.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $40.32 / $194.34	Professional		$21.96	$40.32	$194.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.53 / $9.85 / $37.00	Professional	26	$5.53	$9.85	$37.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.04 / $27.60 / $123.00	Professional	TC	$17.04	$27.60	$123.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.18 / $44.02 / $52.79	Professional		$27.18	$44.02	$52.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.69 / $9.25 / $11.82	Professional	26	$5.69	$9.25	$11.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.99 / $34.72 / $41.65	Professional	TC	$20.99	$34.72	$41.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.84 / $42.22 / $72.50	Professional		$26.84	$42.22	$72.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.22 / $8.83 / $14.80	Professional	26	$7.22	$8.83	$14.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.30 / $31.84 / $65.97	Professional	TC	$19.30	$31.84	$65.97
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $28.12 / $32.92 / $41.07	Professional		$28.12	$32.92	$41.07
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $5.93 / $7.26 / $13.16	Professional	26	$5.93	$7.26	$13.16
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $23.15 / $25.91 / $45.76	Professional	TC	$23.15	$25.91	$45.76
Health New England Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $13.16 / $55.94	Professional		$9.96	$13.16	$55.94
United Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $40.57 / $62.53	Professional		$24.69	$40.57	$62.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.79 / $9.40 / $14.44	Professional	26	$5.79	$9.40	$14.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.36 / $31.32 / $48.09	Professional	TC	$19.36	$31.32	$48.09