Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.47 / $44.23 / $52.05	Facility	26	$12.47	$44.23	$52.05
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.75 / $82.68 / $325.54	Facility	TC	$28.75	$82.68	$325.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $43.98 / $182.60	Professional		$27.02	$43.98	$182.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.93 / $18.05 / $59.00	Professional	26	$8.93	$18.05	$59.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.09 / $24.57 / $127.00	Professional	TC	$18.09	$24.57	$127.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $68.75 / $94.99	Professional		$29.14	$68.75	$94.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.21 / $23.88 / $33.34	Professional	26	$8.21	$23.88	$33.34
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.93 / $46.44 / $61.65	Professional	TC	$20.93	$46.44	$61.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $50.54 / $83.32	Professional		$39.61	$50.54	$83.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.24 / $15.79 / $25.60	Professional	26	$12.24	$15.79	$25.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.10 / $34.61 / $58.70	Professional	TC	$26.10	$34.61	$58.70
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $34.51 / $42.83 / $51.90	Professional		$34.51	$42.83	$51.90
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $10.30 / $12.55 / $22.97	Professional	26	$10.30	$12.55	$22.97
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $20.77 / $30.76 / $52.51	Professional	TC	$20.77	$30.76	$52.51
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $33.61 / $71.00	Professional		$12.05	$33.61	$71.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.71 / $55.49 / $92.54	Professional		$33.71	$55.49	$92.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $16.57 / $25.05	Professional	26	$10.11	$16.57	$25.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.86 / $34.36 / $54.52	Professional	TC	$20.86	$34.36	$54.52