Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.30 / $32.17 / $42.86	Facility	26	$14.30	$32.17	$42.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $44.75 / $337.00	Professional		$6.51	$44.75	$337.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.28 / $14.30 / $54.00	Professional	26	$7.28	$14.30	$54.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.96 / $20.63 / $102.96	Professional	TC	$13.96	$20.63	$102.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.11 / $87.59 / $143.08	Professional		$23.11	$87.59	$143.08
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.01 / $17.23 / $24.38	Professional	26	$9.01	$17.23	$24.38
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.31 / $51.73 / $121.14	Professional	TC	$14.31	$51.73	$121.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $76.63 / $196.43	Professional		$32.97	$76.63	$196.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $13.56 / $22.30	Professional	26	$10.72	$13.56	$22.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $57.67 / $182.68	Professional	TC	$18.82	$57.67	$182.68
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $83.99 / $176.46	Professional		$29.83	$83.99	$176.46
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $9.40 / $10.65 / $19.47	Professional	26	$9.40	$10.65	$19.47
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $18.68 / $23.16 / $64.44	Professional	TC	$18.68	$23.16	$64.44
Health New England Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $31.50 / $168.75	Professional		$14.37	$31.50	$168.75
United Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $42.06 / $84.27	Professional		$23.21	$42.06	$84.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.90 / $13.92 / $28.47	Professional	26	$8.90	$13.92	$28.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.75 / $26.44 / $52.45	Professional	TC	$13.75	$26.44	$52.45