Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $57.54 / $79.43	Facility	26	$18.62	$57.54	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $162.18	Professional		$42.66	$57.54	$162.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $14.13 / $46.77	Professional	26	$10.96	$14.13	$46.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $36.31 / $79.43	Professional	TC	$28.84	$36.31	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $81.28 / $125.89	Professional		$47.86	$81.28	$125.89
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $21.38 / $34.67	Professional	26	$13.18	$21.38	$34.67
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $58.88 / $91.20	Professional	TC	$36.31	$58.88	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $128.82	Professional		$54.95	$79.43	$128.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $21.38 / $37.15	Professional	26	$14.13	$21.38	$37.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $58.88 / $104.71	Professional	TC	$38.90	$58.88	$104.71
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $72.44 / $91.20	Professional		$58.88	$72.44	$91.20
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $19.50 / $30.90	Professional	26	$13.49	$19.50	$30.90
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $57.54 / $83.18	Professional	TC	$38.90	$57.54	$83.18
Health New England Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $79.43 / $114.82	Professional		$19.95	$79.43	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $64.57 / $125.89	Professional		$43.65	$64.57	$125.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $17.38 / $36.31	Professional	26	$11.22	$17.38	$36.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $46.77 / $97.72	Professional	TC	$31.62	$46.77	$97.72