Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.84 / $29.71 / $68.45	Facility	26	$16.84	$29.71	$68.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.79 / $59.31 / $156.57	Professional		$49.79	$59.31	$156.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.76 / $12.94 / $44.69	Professional	26	$10.76	$12.94	$44.69
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $23.43 / $27.42 / $37.65	Professional	52	$23.43	$27.42	$37.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.52 / $43.90 / $77.70	Professional	TC	$38.52	$43.90	$77.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.61 / $79.56 / $108.73	Professional		$50.61	$79.56	$108.73
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.83 / $17.53 / $22.84	Professional	26	$10.83	$17.53	$22.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.45 / $62.26 / $84.42	Professional	TC	$40.45	$62.26	$84.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.43 / $82.14 / $155.09	Professional		$62.43	$82.14	$155.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.32 / $17.47 / $33.25	Professional	26	$13.32	$17.47	$33.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.56 / $64.67 / $123.41	Professional	TC	$48.56	$64.67	$123.41
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $70.41 / $88.74 / $113.71	Professional		$70.41	$88.74	$113.71
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $14.06 / $17.62 / $24.09	Professional	26	$14.06	$17.62	$24.09
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $55.76 / $70.14 / $91.45	Professional	TC	$55.76	$70.14	$91.45
Health New England Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $26.20 / $86.94	Professional		$18.34	$26.20	$86.94
United Facility/Professional Professional Modifier Low / Median / High Price $51.98 / $76.28 / $146.32	Professional		$51.98	$76.28	$146.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.55 / $16.57 / $30.92	Professional	26	$11.55	$16.57	$30.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.75 / $59.79 / $115.40	Professional	TC	$40.75	$59.79	$115.40