Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.85 / $27.33 / $78.67	Facility	26	$18.85	$27.33	$78.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $117.04 / $185.00	Professional		$38.89	$117.04	$185.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $18.85 / $79.23	Professional	26	$11.07	$18.85	$79.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.62 / $33.39 / $60.02	Professional	TC	$19.62	$33.39	$60.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $60.09 / $84.93	Professional		$32.47	$60.09	$84.93
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.64 / $24.39 / $34.47	Professional	26	$10.64	$24.39	$34.47
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.83 / $37.02 / $50.45	Professional	TC	$21.83	$37.02	$50.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $56.00 / $95.72	Professional		$36.31	$56.00	$95.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.68 / $20.72 / $31.93	Professional	26	$12.68	$20.72	$31.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.39 / $34.45 / $63.70	Professional	TC	$23.39	$34.45	$63.70
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $50.23 / $84.04	Professional		$35.47	$50.23	$84.04
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $11.81 / $16.89 / $27.35	Professional	26	$11.81	$16.89	$27.35
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $23.67 / $31.10 / $56.68	Professional	TC	$23.67	$31.10	$56.68
Health New England Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $33.75 / $35.44	Professional		$32.90	$33.75	$35.44
United Facility/Professional Professional Modifier Low / Median / High Price $37.84 / $57.86 / $102.16	Professional		$37.84	$57.86	$102.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.72 / $22.31 / $37.39	Professional	26	$13.72	$22.31	$37.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.45 / $41.24 / $69.73	Professional	TC	$23.45	$41.24	$69.73