Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $34.11 / $42.86	Facility	26	$10.96	$34.11	$42.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.56 / $70.59 / $259.56	Professional		$40.56	$70.59	$259.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.49 / $10.96 / $55.58	Professional	26	$8.49	$10.96	$55.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.19 / $77.39 / $338.00	Professional	TC	$25.19	$77.39	$338.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.21 / $119.72 / $163.83	Professional		$35.21	$119.72	$163.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.61 / $15.40 / $18.77	Professional	26	$8.61	$15.40	$18.77
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.06 / $104.28 / $145.55	Professional	TC	$27.06	$104.28	$145.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.03 / $108.36 / $186.87	Professional		$52.03	$108.36	$186.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.08 / $13.56 / $21.70	Professional	26	$11.08	$13.56	$21.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.60 / $92.34 / $153.26	Professional	TC	$35.60	$92.34	$153.26
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $46.12 / $115.56 / $135.74	Professional		$46.12	$115.56	$135.74
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $10.29 / $13.57 / $30.05	Professional	26	$10.29	$13.57	$30.05
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $34.26 / $42.59 / $120.06	Professional	TC	$34.26	$42.59	$120.06
Health New England Facility/Professional Professional Modifier Low / Median / High Price $14.67 / $29.03 / $113.99	Professional		$14.67	$29.03	$113.99
United Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $71.50 / $148.18	Professional		$37.40	$71.50	$148.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.99 / $13.98 / $27.63	Professional	26	$7.99	$13.98	$27.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.15 / $54.21 / $102.80	Professional	TC	$28.15	$54.21	$102.80