Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $109.65 / $125.89	Facility	26	$30.90	$109.65	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $97.72	Professional		$30.20	$37.15	$97.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $24.55 / $79.43	Professional	26	$19.95	$24.55	$79.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $12.02 / $23.99	Professional	TC	$10.00	$12.02	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $50.12 / $69.18	Professional		$30.90	$50.12	$69.18
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $33.11 / $44.67	Professional	26	$20.89	$33.11	$44.67
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $17.78 / $25.70	Professional	TC	$10.72	$17.78	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $48.98 / $95.50	Professional		$37.15	$48.98	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $31.62 / $61.66	Professional	26	$24.55	$31.62	$61.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $16.98 / $34.67	Professional	TC	$12.59	$16.98	$34.67
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $56.23 / $74.13	Professional		$44.67	$56.23	$74.13
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $33.88 / $43.65	Professional	26	$26.92	$33.88	$43.65
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $22.91 / $29.51	Professional	TC	$16.98	$22.91	$29.51
Health New England Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $44.67 / $70.79	Professional		$18.62	$44.67	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $42.66 / $83.18	Professional		$30.90	$42.66	$83.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $28.18 / $54.95	Professional	26	$20.42	$28.18	$54.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $14.45 / $29.51	Professional	TC	$10.00	$14.45	$29.51