Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.21 / $35.70 / $82.18	Facility	26	$20.21	$35.70	$82.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.96 / $41.36 / $95.75	Professional		$34.96	$41.36	$95.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.92 / $14.98 / $45.60	Professional	26	$12.92	$14.98	$45.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.96 / $25.65 / $43.20	Professional	TC	$21.96	$25.65	$43.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.99 / $57.02 / $78.68	Professional		$34.99	$57.02	$78.68
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.16 / $21.17 / $27.90	Professional	26	$13.16	$21.17	$27.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.42 / $35.45 / $49.55	Professional	TC	$22.42	$35.45	$49.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.48 / $55.98 / $109.90	Professional		$43.48	$55.98	$109.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.92 / $20.57 / $39.97	Professional	26	$15.92	$20.57	$39.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.94 / $35.97 / $70.23	Professional	TC	$26.94	$35.97	$70.23
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $46.75 / $59.16 / $78.75	Professional		$46.75	$59.16	$78.75
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $16.86 / $21.06 / $28.93	Professional	26	$16.86	$21.06	$28.93
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $30.81 / $38.89 / $50.76	Professional	TC	$30.81	$38.89	$50.76
Health New England Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $30.98 / $61.31	Professional		$22.01	$30.98	$61.31
United Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $52.24 / $103.74	Professional		$36.29	$52.24	$103.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.54 / $19.80 / $37.29	Professional	26	$13.54	$19.80	$37.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.87 / $33.32 / $67.48	Professional	TC	$21.87	$33.32	$67.48