Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.49 / $113.85 / $133.97	Facility	26	$32.49	$113.85	$133.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.96 / $66.09 / $305.00	Professional		$42.96	$66.09	$305.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.47 / $43.49 / $103.76	Professional	26	$22.47	$43.49	$103.76
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $32.20 / $82.25 / $222.00	Professional	52	$32.20	$82.25	$222.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.82 / $29.02 / $148.00	Professional	TC	$20.82	$29.02	$148.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.77 / $91.22 / $110.53	Professional		$52.77	$91.22	$110.53
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.05 / $47.88 / $59.84	Professional	26	$28.05	$47.88	$59.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.43 / $42.72 / $50.69	Professional	TC	$24.43	$42.72	$50.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.93 / $76.98 / $123.84	Professional		$60.93	$76.98	$123.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.17 / $40.57 / $65.93	Professional	26	$32.17	$40.57	$65.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.76 / $36.18 / $59.75	Professional	TC	$28.76	$36.18	$59.75
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $53.03 / $69.98 / $82.75	Professional		$53.03	$69.98	$82.75
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $26.50 / $32.34 / $64.59	Professional	26	$26.50	$32.34	$64.59
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $24.51 / $28.34 / $58.14	Professional	TC	$24.51	$28.34	$58.14
Health New England Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $75.38 / $146.63	Professional		$45.00	$75.38	$146.63
United Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $80.19 / $136.19	Professional		$48.34	$80.19	$136.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.82 / $40.52 / $72.81	Professional	26	$24.82	$40.52	$72.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.77 / $36.56 / $61.05	Professional	TC	$22.77	$36.56	$61.05