Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.77 / $9.44 / $26.12	Facility	26	$7.77	$9.44	$26.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.96 / $23.37 / $36.99	Professional		$13.96	$23.37	$36.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.61 / $4.90 / $7.77	Professional	26	$2.61	$4.90	$7.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.26 / $18.37 / $29.22	Professional	TC	$11.26	$18.37	$29.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $27.08 / $46.76	Professional		$16.04	$27.08	$46.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $2.78 / $5.71 / $10.10	Professional	26	$2.78	$5.71	$10.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.26 / $21.53 / $36.64	Professional	TC	$13.26	$21.53	$36.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $31.42 / $53.85	Professional		$19.21	$31.42	$53.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.63 / $7.20 / $10.40	Professional	26	$3.63	$7.20	$10.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.82 / $24.01 / $43.57	Professional	TC	$15.82	$24.01	$43.57
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $28.22 / $40.04	Professional		$18.60	$28.22	$40.04
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $3.28 / $5.08 / $7.85	Professional	26	$3.28	$5.08	$7.85
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $15.32 / $21.89 / $31.62	Professional	TC	$15.32	$21.89	$31.62
Health New England Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $9.34 / $9.34	Professional		$9.34	$9.34	$9.34
United Facility/Professional Professional Modifier Low / Median / High Price $20.77 / $29.88 / $55.11	Professional		$20.77	$29.88	$55.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.90 / $5.92 / $10.78	Professional	26	$3.90	$5.92	$10.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.05 / $23.09 / $43.35	Professional	TC	$16.05	$23.09	$43.35