Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.11 / $18.66 / $154.06	Facility		$5.11	$18.66	$154.06
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.66 / $31.45 / $35.44	Facility	26	$10.66	$31.45	$35.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $16.71 / $48.45	Professional		$11.40	$16.71	$48.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.48 / $10.66 / $19.07	Professional	26	$7.48	$10.66	$19.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.89 / $5.46 / $9.55	Professional	TC	$3.89	$5.46	$9.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.84 / $21.51 / $326.70	Facility		$7.84	$21.51	$326.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.17 / $17.64 / $24.79	Professional		$10.17	$17.64	$24.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.75 / $11.68 / $16.14	Professional	26	$6.75	$11.68	$16.14
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $15.26 / $26.46 / $34.90	Professional	50	$15.26	$26.46	$34.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.61 / $6.03 / $8.43	Professional	TC	$3.61	$6.03	$8.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.07 / $16.09 / $70.19	Facility		$9.07	$16.09	$70.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $19.77 / $30.26	Professional		$14.04	$19.77	$30.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.56 / $11.63 / $18.78	Professional	26	$9.56	$11.63	$18.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.81 / $6.45 / $10.76	Professional	TC	$2.81	$6.45	$10.76
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $15.39 / $18.68	Professional		$12.75	$15.39	$18.68
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $9.19 / $13.78	Professional	26	$8.51	$9.19	$13.78
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $4.24 / $4.41 / $6.22	Professional	TC	$4.24	$4.41	$6.22
Health New England Facility/Professional Professional Modifier Low / Median / High Price $22.24 / $24.19 / $36.77	Professional		$22.24	$24.19	$36.77
United Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $15.86 / $28.87	Professional		$10.43	$15.86	$28.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.05 / $11.46 / $19.23	Professional	26	$7.05	$11.46	$19.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.31 / $5.73 / $10.51	Professional	TC	$3.31	$5.73	$10.51