Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.08 / $83.22 / $108.94	Facility	26	$28.08	$83.22	$108.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $75.45 / $446.00	Professional		$41.75	$75.45	$446.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.37 / $36.61 / $134.00	Professional	26	$21.37	$36.61	$134.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.62 / $25.62 / $48.47	Professional	TC	$17.62	$25.62	$48.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.92 / $70.77 / $99.69	Professional		$43.92	$70.77	$99.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.12 / $37.36 / $54.53	Professional	26	$22.12	$37.36	$54.53
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.15 / $32.51 / $44.84	Professional	TC	$21.15	$32.51	$44.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.15 / $93.42 / $135.80	Professional		$53.15	$93.42	$135.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.05 / $35.02 / $56.88	Professional	26	$27.05	$35.02	$56.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.61 / $45.99 / $83.03	Professional	TC	$24.61	$45.99	$83.03
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $56.35 / $112.97	Professional		$48.22	$56.35	$112.97
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $22.52 / $25.63 / $38.15	Professional	26	$22.52	$25.63	$38.15
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $22.47 / $23.62 / $40.10	Professional	TC	$22.47	$23.62	$40.10
Health New England Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $70.22 / $93.93	Professional		$36.68	$70.22	$93.93
United Facility/Professional Professional Modifier Low / Median / High Price $41.19 / $67.38 / $112.46	Professional		$41.19	$67.38	$112.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.59 / $33.04 / $58.95	Professional	26	$21.59	$33.04	$58.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.60 / $31.85 / $56.61	Professional	TC	$19.60	$31.85	$56.61