Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.30 / $14.38 / $18.44	Facility	26	$4.30	$14.38	$18.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.51 / $45.97 / $168.75	Professional		$27.51	$45.97	$168.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.18 / $4.30 / $15.00	Professional	26	$3.18	$4.30	$15.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.33 / $18.27 / $46.95	Professional	52	$11.33	$18.27	$46.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.78 / $35.28 / $90.00	Professional	TC	$23.78	$35.28	$90.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $63.15 / $90.49	Professional		$24.09	$63.15	$90.49
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $7.96 / $11.99	Professional	26	$3.02	$7.96	$11.99
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.35 / $54.12 / $78.51	Professional	TC	$21.35	$54.12	$78.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $69.98 / $175.77	Professional		$29.62	$69.98	$175.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.68 / $5.53 / $9.77	Professional	26	$3.68	$5.53	$9.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.15 / $60.93 / $156.62	Professional	TC	$25.15	$60.93	$156.62
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $59.78 / $316.44	Professional		$34.97	$59.78	$316.44
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $3.74 / $5.42 / $48.12	Professional	26	$3.74	$5.42	$48.12
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $23.22 / $34.35 / $62.75	Professional	TC	$23.22	$34.35	$62.75
Health New England Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $7.37 / $37.61	Professional		$4.84	$7.37	$37.61
United Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $42.06 / $161.57	Professional		$25.26	$42.06	$161.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.20 / $4.71 / $11.77	Professional	26	$3.20	$4.71	$11.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.01 / $36.89 / $89.45	Professional	TC	$22.01	$36.89	$89.45