Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.39 / $52.91 / $69.08	Facility	26	$17.39	$52.91	$69.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $51.94 / $231.00	Professional		$34.40	$51.94	$231.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.23 / $17.39 / $62.88	Professional	26	$12.23	$17.39	$62.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $33.18 / $142.00	Professional	TC	$22.57	$33.18	$142.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.74 / $104.25 / $145.51	Professional		$39.74	$104.25	$145.51
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.57 / $32.57 / $45.46	Professional	26	$11.57	$32.57	$45.46
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.16 / $71.67 / $100.04	Professional	TC	$28.16	$71.67	$100.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.89 / $72.70 / $130.46	Professional		$53.89	$72.70	$130.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.18 / $21.17 / $35.75	Professional	26	$17.18	$21.17	$35.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.36 / $50.31 / $92.04	Professional	TC	$35.36	$50.31	$92.04
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $56.77 / $70.17	Professional		$49.28	$56.77	$70.17
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $14.37 / $17.53 / $31.92	Professional	26	$14.37	$17.53	$31.92
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $33.03 / $40.99 / $70.06	Professional	TC	$33.03	$40.99	$70.06
Health New England Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $28.88 / $76.98	Professional		$21.92	$28.88	$76.98
United Facility/Professional Professional Modifier Low / Median / High Price $45.96 / $68.98 / $124.54	Professional		$45.96	$68.98	$124.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.23 / $22.36 / $34.14	Professional	26	$14.23	$22.36	$34.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.69 / $47.50 / $72.94	Professional	TC	$28.69	$47.50	$72.94