Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.77 / $60.26 / $70.79	Facility	26	$9.77	$60.26	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $34.67 / $91.20	Professional		$15.85	$34.67	$91.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $17.78 / $52.48	Professional	26	$7.08	$17.78	$52.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.91 / $21.88 / $53.70	Professional	TC	$8.91	$21.88	$53.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $38.02 / $61.66	Professional		$12.88	$38.02	$61.66
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $15.49 / $22.91	Professional	26	$6.17	$15.49	$22.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $6.61 / $21.88 / $40.74	Professional	TC	$6.61	$21.88	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.88 / $123.03	Professional		$22.39	$33.88	$123.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $13.18 / $31.62	Professional	26	$8.71	$13.18	$31.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $22.91 / $81.28	Professional	TC	$12.02	$22.91	$81.28
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $26.30 / $61.66	Professional		$20.42	$26.30	$61.66
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $19.50 / $23.99	Professional	26	$7.59	$19.50	$23.99
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $11.22 / $38.90 / $48.98	Professional	TC	$11.22	$38.90	$48.98
Health New England Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $24.55 / $37.15	Professional		$15.49	$24.55	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $43.65 / $83.18	Professional		$20.42	$43.65	$83.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $16.22 / $29.51	Professional	26	$7.94	$16.22	$29.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.30 / $28.84 / $54.95	Professional	TC	$12.30	$28.84	$54.95