Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.57 / $51.18 / $59.78	Facility	26	$15.57	$51.18	$59.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $56.54 / $204.00	Professional		$28.16	$56.54	$204.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.77 / $18.79 / $50.77	Professional	26	$11.77	$18.79	$50.77
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.93 / $19.80 / $75.23	Professional	52	$13.93	$19.80	$75.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.32 / $27.26 / $109.95	Professional	TC	$17.32	$27.26	$109.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $62.17 / $77.98	Professional		$40.89	$62.17	$77.98
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.41 / $20.69 / $25.22	Professional	26	$11.41	$20.69	$25.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.60 / $40.15 / $52.39	Professional	TC	$28.60	$40.15	$52.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.78 / $62.53 / $102.60	Professional		$48.78	$62.53	$102.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.32 / $18.73 / $31.99	Professional	26	$14.32	$18.73	$31.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.22 / $47.31 / $73.91	Professional	TC	$32.22	$47.31	$73.91
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $38.35 / $50.24 / $63.14	Professional		$38.35	$50.24	$63.14
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $13.84 / $14.91 / $26.97	Professional	26	$13.84	$14.91	$26.97
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $24.51 / $38.22 / $65.36	Professional	TC	$24.51	$38.22	$65.36
Health New England Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $37.36 / $40.64	Professional		$20.52	$37.36	$40.64
United Facility/Professional Professional Modifier Low / Median / High Price $38.31 / $62.65 / $97.82	Professional		$38.31	$62.65	$97.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.33 / $19.70 / $44.53	Professional	26	$12.33	$19.70	$44.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.54 / $41.72 / $68.15	Professional	TC	$23.54	$41.72	$68.15