Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.69 / $51.78 / $68.92	Facility	26	$8.69	$51.78	$68.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $28.64 / $108.82	Professional		$12.95	$28.64	$108.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $22.96 / $56.00	Professional	26	$7.03	$22.96	$56.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.84 / $10.55 / $52.52	Professional	TC	$6.84	$10.55	$52.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.74 / $38.72 / $62.52	Professional		$27.74	$38.72	$62.52
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.59 / $15.72 / $23.29	Professional	26	$11.59	$15.72	$23.29
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.84 / $22.52 / $40.54	Professional	TC	$15.84	$22.52	$40.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.53 / $40.58 / $95.42	Professional		$28.53	$40.58	$95.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.63 / $13.11 / $31.64	Professional	26	$9.63	$13.11	$31.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.30 / $27.47 / $62.46	Professional	TC	$18.30	$27.47	$62.46
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $26.52 / $50.28	Professional		$19.78	$26.52	$50.28
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $16.57 / $31.20	Professional	26	$7.51	$16.57	$31.20
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $11.22 / $31.99 / $56.58	Professional	TC	$11.22	$31.99	$56.58
Health New England Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $31.78 / $47.41	Professional		$15.36	$31.78	$47.41
United Facility/Professional Professional Modifier Low / Median / High Price $24.05 / $59.81 / $87.34	Professional		$24.05	$59.81	$87.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.19 / $21.55 / $34.18	Professional	26	$8.19	$21.55	$34.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.51 / $39.67 / $70.86	Professional	TC	$13.51	$39.67	$70.86