Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $60.26 / $70.79	Facility	26	$19.50	$60.26	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $53.70 / $229.09	Professional		$39.81	$53.70	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $19.95 / $53.70	Professional	26	$12.88	$19.95	$53.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $34.67 / $81.28	Professional	TC	$25.70	$34.67	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $89.13 / $141.25	Professional		$33.88	$89.13	$141.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $27.54 / $44.67	Professional	26	$9.55	$27.54	$44.67
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $60.26 / $97.72	Professional	TC	$23.99	$60.26	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $72.44 / $144.54	Professional		$42.66	$72.44	$144.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $21.38 / $36.31	Professional	26	$14.45	$21.38	$36.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $50.12 / $102.33	Professional	TC	$26.92	$50.12	$102.33
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $58.88 / $75.86	Professional		$48.98	$58.88	$75.86
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $20.42 / $24.55	Professional	26	$14.45	$20.42	$24.55
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $46.77 / $58.88	Professional	TC	$33.11	$46.77	$58.88
Health New England Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $81.28	Professional		$21.88	$25.70	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $58.88 / $97.72	Professional		$37.15	$58.88	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $18.62 / $30.20	Professional	26	$12.02	$18.62	$30.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $39.81 / $69.18	Professional	TC	$25.70	$39.81	$69.18