Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.16 / $33.70 / $42.89	Facility	26	$10.16	$33.70	$42.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $44.01 / $167.15	Professional		$28.35	$44.01	$167.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.11 / $10.61 / $38.89	Professional	26	$7.11	$10.61	$38.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.05 / $28.65 / $58.32	Professional	TC	$21.05	$28.65	$58.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $62.35 / $86.14	Professional		$25.90	$62.35	$86.14
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.19 / $17.19 / $23.99	Professional	26	$7.19	$17.19	$23.99
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.93 / $45.40 / $62.14	Professional	TC	$18.93	$45.40	$62.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.97 / $66.93 / $87.41	Professional		$30.97	$66.93	$87.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.42 / $11.30 / $23.06	Professional	26	$8.42	$11.30	$23.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.94 / $53.32 / $65.25	Professional	TC	$22.94	$53.32	$65.25
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $28.86 / $42.45 / $48.98	Professional		$28.86	$42.45	$48.98
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $8.00 / $11.35 / $13.37	Professional	26	$8.00	$11.35	$13.37
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $20.86 / $30.86 / $36.79	Professional	TC	$20.86	$30.86	$36.79
Health New England Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $14.87 / $40.29	Professional		$11.00	$14.87	$40.29
United Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $42.55 / $91.75	Professional		$27.07	$42.55	$91.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $10.76 / $24.65	Professional	26	$7.41	$10.76	$24.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.48 / $31.45 / $67.09	Professional	TC	$19.48	$31.45	$67.09