Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $93.33 / $109.65	Facility	26	$30.20	$93.33	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $81.28 / $316.23	Professional		$38.02	$81.28	$316.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $32.36 / $93.33	Professional	26	$18.20	$32.36	$93.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $28.84 / $89.13	Professional	TC	$18.20	$28.84	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $91.20 / $128.82	Professional		$46.77	$91.20	$128.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $25.70 / $42.66	Professional	26	$19.95	$25.70	$42.66
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $67.61 / $95.50	Professional	TC	$25.12	$67.61	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $102.33 / $181.97	Professional		$57.54	$102.33	$181.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $31.62 / $58.88	Professional	26	$19.95	$31.62	$58.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $54.95 / $120.23	Professional	TC	$27.54	$54.95	$120.23
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $107.15 / $141.25	Professional		$69.18	$107.15	$141.25
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $31.62 / $52.48	Professional	26	$22.39	$31.62	$52.48
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $47.86 / $117.49	Professional	TC	$37.15	$47.86	$117.49
Health New England Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $87.10	Professional		$36.31	$44.67	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $70.79 / $120.23	Professional		$40.74	$70.79	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $26.30 / $46.77	Professional	26	$17.38	$26.30	$46.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $34.67 / $87.10	Professional	TC	$20.42	$34.67	$87.10