Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $95.50 / $112.20	Facility	26	$31.62	$95.50	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $85.11 / $288.40	Professional		$38.90	$85.11	$288.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $47.86 / $131.83	Professional	26	$19.95	$47.86	$131.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $22.91 / $57.54	Professional	TC	$16.98	$22.91	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $67.61 / $102.33	Professional		$42.66	$67.61	$102.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $37.15 / $56.23	Professional	26	$21.88	$37.15	$56.23
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $30.90 / $45.71	Professional	TC	$20.42	$30.90	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $89.13 / $141.25	Professional		$48.98	$89.13	$141.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $34.67 / $61.66	Professional	26	$25.70	$34.67	$61.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $44.67 / $87.10	Professional	TC	$22.39	$44.67	$87.10
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $112.20	Professional		$47.86	$69.18	$112.20
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $32.36 / $38.90	Professional	26	$22.39	$32.36	$38.90
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $30.20 / $41.69	Professional	TC	$22.39	$30.20	$41.69
Health New England Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $42.66 / $93.33	Professional		$40.74	$42.66	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $57.54 / $102.33	Professional		$37.15	$57.54	$102.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $26.92 / $47.86	Professional	26	$19.05	$26.92	$47.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $29.51 / $56.23	Professional	TC	$17.78	$29.51	$56.23