Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.19 / $54.03 / $124.35	Facility	26	$25.19	$54.03	$124.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $75.00 / $213.00	Professional		$33.39	$75.00	$213.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.92 / $25.19 / $70.08	Professional	26	$18.92	$25.19	$70.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.46 / $19.45 / $113.89	Professional	TC	$14.46	$19.45	$113.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.98 / $114.94 / $189.62	Professional		$31.98	$114.94	$189.62
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.36 / $41.42 / $54.25	Professional	26	$18.36	$41.42	$54.25
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $47.97 / $172.41 / $284.43	Professional	50	$47.97	$172.41	$284.43
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.50 / $48.31 / $135.37	Professional	TC	$14.50	$48.31	$135.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.81 / $134.94 / $240.53	Professional		$45.81	$134.94	$240.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.20 / $43.45 / $63.23	Professional	26	$24.20	$43.45	$63.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.61 / $65.06 / $171.22	Professional	TC	$21.61	$65.06	$171.22
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $44.91 / $64.20 / $155.81	Professional		$44.91	$64.20	$155.81
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $34.29 / $55.29	Professional	26	$23.99	$34.29	$55.29
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $20.91 / $29.89 / $112.46	Professional	TC	$20.91	$29.89	$112.46
Health New England Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $64.44 / $64.44	Professional		$48.51	$64.44	$64.44
United Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $60.16 / $125.28	Professional		$34.36	$60.16	$125.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.26 / $30.69 / $49.28	Professional	26	$21.26	$30.69	$49.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.84 / $26.17 / $69.25	Professional	TC	$16.84	$26.17	$69.25