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 $39.90 / $44.99 / $80.43	Professional		$39.90	$44.99	$80.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.76 / $12.48 / $32.42	Professional	26	$10.76	$12.48	$32.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.89 / $32.83 / $57.68	Professional	TC	$28.89	$32.83	$57.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $62.44 / $85.34	Professional		$40.26	$62.44	$85.34
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 $29.90 / $46.32 / $60.89	Professional	TC	$29.90	$46.32	$60.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.72 / $64.17 / $123.71	Professional		$49.72	$64.17	$123.71
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 $35.95 / $46.70 / $90.57	Professional	TC	$35.95	$46.70	$90.57
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $55.78 / $69.53 / $90.55	Professional		$55.78	$69.53	$90.55
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 $41.35 / $51.12 / $67.56	Professional	TC	$41.35	$51.12	$67.56
Health New England Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $26.79 / $116.25	Professional		$10.02	$26.79	$116.25
Health New England Facility/Professional Professional Modifier 26 Low / Median / High Price $27.32 / $27.32 / $27.32	Professional	26	$27.32	$27.32	$27.32
United Facility/Professional Professional Modifier Low / Median / High Price $41.81 / $61.06 / $117.12	Professional		$41.81	$61.06	$117.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.49 / $16.02 / $30.40	Professional	26	$11.49	$16.02	$30.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.04 / $44.32 / $86.72	Professional	TC	$30.04	$44.32	$86.72