Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $58.88 / $69.18	Facility	26	$10.72	$58.88	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $57.54 / $173.78	Professional		$34.67	$57.54	$173.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $15.49 / $51.29	Professional	26	$7.41	$15.49	$51.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $36.31 / $109.65	Professional	TC	$21.88	$36.31	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $83.18 / $141.25	Professional		$41.69	$83.18	$141.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $16.22 / $23.44	Professional	26	$12.59	$16.22	$23.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $57.54 / $117.49	Professional	TC	$27.54	$57.54	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $77.62 / $134.90	Professional		$48.98	$77.62	$134.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $14.45 / $34.67	Professional	26	$9.33	$14.45	$34.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $64.57 / $114.82	Professional	TC	$29.51	$64.57	$114.82
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $123.03	Professional		$60.26	$77.62	$123.03
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $20.42 / $25.70	Professional	26	$7.76	$20.42	$25.70
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $44.67 / $72.44	Professional	TC	$34.67	$44.67	$72.44
Health New England Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $27.54 / $30.20	Professional		$21.38	$27.54	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $58.88 / $102.33	Professional		$36.31	$58.88	$102.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $15.85 / $29.51	Professional	26	$8.51	$15.85	$29.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $38.90 / $93.33	Professional	TC	$22.91	$38.90	$93.33