Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.77 / $74.30 / $90.40	Facility	26	$20.77	$74.30	$90.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $45.07 / $76.69	Professional		$25.45	$45.07	$76.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.69 / $27.97	Professional	26	$12.88	$15.69	$27.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.36 / $29.35 / $45.65	Professional	TC	$12.36	$29.35	$45.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $46.61 / $106.11	Professional		$27.59	$46.61	$106.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.43 / $22.93 / $34.65	Professional	26	$13.43	$22.93	$34.65
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $12.87 / $22.59 / $65.81	Professional	TC	$12.87	$22.59	$65.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.56 / $52.16 / $136.83	Professional		$36.56	$52.16	$136.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.46 / $22.69 / $47.20	Professional	26	$17.46	$22.69	$47.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.10 / $31.61 / $95.56	Professional	TC	$17.10	$31.61	$95.56
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $39.84 / $67.51 / $124.89	Professional		$39.84	$67.51	$124.89
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $19.04 / $22.69 / $38.40	Professional	26	$19.04	$22.69	$38.40
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $18.72 / $46.68 / $86.49	Professional	TC	$18.72	$46.68	$86.49
Health New England Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $50.55 / $87.15	Professional		$24.92	$50.55	$87.15
United Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $53.84 / $111.97	Professional		$34.33	$53.84	$111.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.08 / $20.70 / $41.42	Professional	26	$15.08	$20.70	$41.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.10 / $34.36 / $77.09	Professional	TC	$17.10	$34.36	$77.09