Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.83 / $80.43 / $105.69	Facility	26	$26.83	$80.43	$105.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.25 / $86.03 / $460.00	Professional		$53.25	$86.03	$460.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.64 / $26.83 / $97.00	Professional	26	$17.64	$26.83	$97.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.48 / $52.40 / $100.45	Professional	TC	$18.48	$52.40	$100.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.07 / $86.32 / $127.41	Professional		$47.07	$86.32	$127.41
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.05 / $26.88 / $39.27	Professional	26	$20.05	$26.88	$39.27
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.24 / $58.23 / $97.59	Professional	TC	$25.24	$58.23	$97.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $101.97 / $173.43	Professional		$57.99	$101.97	$173.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.96 / $29.72 / $55.13	Professional	26	$21.96	$29.72	$55.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.37 / $55.00 / $104.33	Professional	TC	$28.37	$55.00	$104.33
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $58.14 / $106.73 / $127.36	Professional		$58.14	$106.73	$127.36
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $18.18 / $25.70 / $46.30	Professional	26	$18.18	$25.70	$46.30
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $30.46 / $44.26 / $106.53	Professional	TC	$30.46	$44.26	$106.53
Health New England Facility/Professional Professional Modifier Low / Median / High Price $35.02 / $44.97 / $107.81	Professional		$35.02	$44.97	$107.81
United Facility/Professional Professional Modifier Low / Median / High Price $44.50 / $74.16 / $145.97	Professional		$44.50	$74.16	$145.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.41 / $32.47 / $54.77	Professional	26	$19.41	$32.47	$54.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.52 / $38.43 / $164.10	Professional	TC	$21.52	$38.43	$164.10