Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.47 / $101.04 / $123.10	Facility	26	$29.47	$101.04	$123.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $56.48 / $100.40	Professional		$37.11	$56.48	$100.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.64 / $21.91 / $37.40	Professional	26	$18.64	$21.91	$37.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.67 / $34.01 / $59.39	Professional	TC	$16.67	$34.01	$59.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.02 / $62.66 / $127.90	Professional		$39.02	$62.66	$127.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $33.54 / $48.25	Professional	26	$19.05	$33.54	$48.25
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.69 / $30.06 / $77.25	Professional	TC	$16.69	$30.06	$77.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.82 / $69.81 / $167.17	Professional		$53.82	$69.81	$167.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.78 / $34.32 / $65.91	Professional	26	$23.78	$34.32	$65.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.43 / $38.72 / $109.65	Professional	TC	$24.43	$38.72	$109.65
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $60.45 / $84.04 / $155.03	Professional		$60.45	$84.04	$155.03
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $26.40 / $33.15 / $53.23	Professional	26	$26.40	$33.15	$53.23
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $27.29 / $54.99 / $101.77	Professional	TC	$27.29	$54.99	$101.77
Health New England Facility/Professional Professional Modifier Low / Median / High Price $26.72 / $30.79 / $90.27	Professional		$26.72	$30.79	$90.27
United Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $68.15 / $142.87	Professional		$47.53	$68.15	$142.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.23 / $30.23 / $57.84	Professional	26	$21.23	$30.23	$57.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.34 / $36.89 / $90.48	Professional	TC	$24.34	$36.89	$90.48