Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.82 / $25.47 / $72.47	Facility	26	$17.82	$25.47	$72.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.21 / $62.75 / $192.80	Professional		$36.21	$62.75	$192.80
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $125.25 / $125.25 / $125.25	Professional	25	$125.25	$125.25	$125.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.68 / $13.71 / $46.84	Professional	26	$9.68	$13.71	$46.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.42 / $46.54 / $72.00	Professional	TC	$26.42	$46.54	$72.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.83 / $65.88 / $113.11	Professional		$38.83	$65.88	$113.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.56 / $16.43 / $23.38	Professional	26	$9.56	$16.43	$23.38
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.97 / $49.89 / $89.72	Professional	TC	$28.97	$49.89	$89.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $79.51 / $137.16	Professional		$50.12	$79.51	$137.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.08 / $19.82 / $30.55	Professional	26	$12.08	$19.82	$30.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.27 / $61.01 / $105.38	Professional	TC	$37.27	$61.01	$105.38
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $48.37 / $76.04 / $108.23	Professional		$48.37	$76.04	$108.23
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $12.06 / $18.39 / $26.84	Professional	26	$12.06	$18.39	$26.84
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $35.96 / $57.66 / $81.94	Professional	TC	$35.96	$57.66	$81.94
Health New England Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $23.83 / $131.47	Professional		$11.00	$23.83	$131.47
United Facility/Professional Professional Modifier Low / Median / High Price $54.65 / $79.48 / $143.41	Professional		$54.65	$79.48	$143.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.91 / $17.55 / $31.89	Professional	26	$11.91	$17.55	$31.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.93 / $60.03 / $101.06	Professional	TC	$39.93	$60.03	$101.06