Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.60 / $11.60 / $47.08	Facility	26	$11.60	$11.60	$47.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $36.79 / $116.38	Professional		$25.16	$36.79	$116.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.37 / $8.88 / $25.88	Professional	26	$7.37	$8.88	$25.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.63 / $28.06 / $41.42	Professional	TC	$17.63	$28.06	$41.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.83 / $44.61 / $66.97	Professional		$26.83	$44.61	$66.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.73 / $12.32 / $15.93	Professional	26	$7.73	$12.32	$15.93
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.59 / $31.95 / $51.81	Professional	TC	$18.59	$31.95	$51.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.57 / $48.51 / $86.32	Professional		$33.57	$48.51	$86.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $11.78 / $22.81	Professional	26	$9.11	$11.78	$22.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.05 / $35.90 / $63.63	Professional	TC	$24.05	$35.90	$63.63
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $53.27 / $82.44	Professional		$33.90	$53.27	$82.44
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $9.67 / $12.29 / $17.05	Professional	26	$9.67	$12.29	$17.05
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $23.94 / $38.47 / $45.43	Professional	TC	$23.94	$38.47	$45.43
Health New England Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $19.62 / $74.95	Professional		$15.05	$19.62	$74.95
Health New England Facility/Professional Professional Modifier 26 Low / Median / High Price $18.70 / $18.70 / $18.70	Professional	26	$18.70	$18.70	$18.70
United Facility/Professional Professional Modifier Low / Median / High Price $33.69 / $47.57 / $86.56	Professional		$33.69	$47.57	$86.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $11.31 / $22.54	Professional	26	$7.95	$11.31	$22.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.46 / $35.10 / $64.38	Professional	TC	$24.46	$35.10	$64.38