Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.47 / $93.59 / $112.63	Facility	26	$26.47	$93.59	$112.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.66 / $65.18 / $204.04	Professional		$27.66	$65.18	$204.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.80 / $26.47 / $98.84	Professional	26	$17.80	$26.47	$98.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.90 / $236.80 / $236.80	Professional	50	$35.90	$236.80	$236.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.18 / $12.84 / $71.95	Professional	TC	$9.18	$12.84	$71.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.44 / $55.62 / $96.51	Professional		$45.44	$55.62	$96.51
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.58 / $35.93 / $51.38	Professional	26	$24.58	$35.93	$51.38
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $68.17 / $83.12 / $144.76	Professional	50	$68.17	$83.12	$144.76
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.63 / $24.95 / $44.59	Professional	TC	$13.63	$24.95	$44.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $69.20 / $133.56	Professional		$37.86	$69.20	$133.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.77 / $33.49 / $69.94	Professional	26	$24.77	$33.49	$69.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.93 / $21.54 / $75.48	Professional	TC	$12.93	$21.54	$75.48
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $39.26 / $74.77	Professional		$32.04	$39.26	$74.77
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $18.39 / $36.04 / $43.20	Professional	26	$18.39	$36.04	$43.20
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $10.19 / $36.17 / $44.96	Professional	TC	$10.19	$36.17	$44.96
Health New England Facility/Professional Professional Modifier Low / Median / High Price $37.84 / $57.00 / $104.24	Professional		$37.84	$57.00	$104.24
United Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $65.01 / $124.15	Professional		$35.57	$65.01	$124.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.80 / $32.02 / $63.84	Professional	26	$18.80	$32.02	$63.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.73 / $32.53 / $72.61	Professional	TC	$11.73	$32.53	$72.61