Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.96 / $96.33 / $126.95	Facility	26	$30.96	$96.33	$126.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.69 / $103.48 / $453.12	Professional		$49.69	$103.48	$453.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.89 / $30.96 / $93.35	Professional	26	$23.89	$30.96	$93.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $62.60 / $124.42	Professional	TC	$23.44	$62.60	$124.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.79 / $116.48 / $204.21	Professional		$59.79	$116.48	$204.21
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.86 / $41.14 / $52.46	Professional	26	$26.86	$41.14	$52.46
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $72.78 / $152.84	Professional	TC	$32.36	$72.78	$152.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $107.75 / $182.38	Professional		$72.23	$107.75	$182.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.53 / $39.08 / $64.41	Professional	26	$31.53	$39.08	$64.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.06 / $68.09 / $108.97	Professional	TC	$36.06	$68.09	$108.97
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $115.11 / $134.58	Professional		$68.20	$115.11	$134.58
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $26.93 / $30.14 / $42.93	Professional	26	$26.93	$30.14	$42.93
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $38.07 / $47.33 / $86.75	Professional	TC	$38.07	$47.33	$86.75
Health New England Facility/Professional Professional Modifier Low / Median / High Price $42.44 / $53.45 / $130.11	Professional		$42.44	$53.45	$130.11
United Facility/Professional Professional Modifier Low / Median / High Price $51.91 / $84.92 / $167.49	Professional		$51.91	$84.92	$167.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.20 / $40.51 / $85.04	Professional	26	$24.20	$40.51	$85.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.98 / $47.90 / $91.91	Professional	TC	$26.98	$47.90	$91.91