Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.39 / $51.68 / $67.45	Facility	26	$17.39	$51.68	$67.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.11 / $55.15 / $219.75	Professional		$29.11	$55.15	$219.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.23 / $21.26 / $54.44	Professional	26	$12.23	$21.26	$54.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.04 / $41.56 / $97.07	Professional	TC	$17.04	$41.56	$97.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.14 / $109.33 / $152.60	Professional		$37.14	$109.33	$152.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.12 / $33.54 / $45.46	Professional	26	$13.12	$33.54	$45.46
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.02 / $71.13 / $107.12	Professional	TC	$24.02	$71.13	$107.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.85 / $73.18 / $119.89	Professional		$48.85	$73.18	$119.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.25 / $21.02 / $35.75	Professional	26	$17.25	$21.02	$35.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.60 / $53.10 / $81.01	Professional	TC	$31.60	$53.10	$81.01
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $48.29 / $71.61 / $96.57	Professional		$48.29	$71.61	$96.57
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $14.37 / $17.14 / $31.24	Professional	26	$14.37	$17.14	$31.24
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $30.09 / $37.38 / $57.77	Professional	TC	$30.09	$37.38	$57.77
Health New England Facility/Professional Professional Modifier Low / Median / High Price $21.32 / $33.04 / $46.44	Professional		$21.32	$33.04	$46.44
United Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $61.82 / $88.66	Professional		$38.72	$61.82	$88.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.95 / $22.36 / $34.14	Professional	26	$12.95	$22.36	$34.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.10 / $37.47 / $63.41	Professional	TC	$22.10	$37.47	$63.41