Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.51 / $93.33 / $131.83	Facility	26	$29.51	$93.33	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $69.18 / $199.53	Professional		$30.90	$69.18	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $46.77 / $109.65	Professional	26	$19.05	$46.77	$109.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $36.31 / $70.79 / $263.03	Professional	50	$36.31	$70.79	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.51 / $21.88 / $81.28	Professional	TC	$8.51	$21.88	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $95.50	Professional		$38.02	$52.48	$95.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $32.36 / $53.70	Professional	26	$20.42	$32.36	$53.70
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $56.23 / $77.62 / $141.25	Professional	50	$56.23	$77.62	$141.25
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.48 / $18.62 / $44.67	Professional	TC	$11.48	$18.62	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $60.26 / $162.18	Professional		$38.02	$60.26	$162.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $33.88 / $67.61	Professional	26	$24.55	$33.88	$67.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $21.88 / $75.86	Professional	TC	$12.88	$21.88	$75.86
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.74 / $89.13	Professional		$33.88	$40.74	$89.13
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $37.15 / $52.48	Professional	26	$18.20	$37.15	$52.48
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $10.23 / $38.90 / $54.95	Professional	TC	$10.23	$38.90	$54.95
Health New England Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $58.88 / $112.20	Professional		$46.77	$58.88	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $56.23 / $107.15	Professional		$32.36	$56.23	$107.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $26.92 / $61.66	Professional	26	$18.20	$26.92	$61.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.22 / $29.51 / $60.26	Professional	TC	$11.22	$29.51	$60.26