Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $58.88 / $69.18	Facility	26	$15.85	$58.88	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $45.71 / $93.33	Professional		$38.02	$45.71	$93.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.88 / $38.02	Professional	26	$10.00	$12.88	$38.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $32.36 / $63.10	Professional	TC	$26.92	$32.36	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $63.10 / $87.10	Professional		$40.74	$63.10	$87.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $18.20 / $24.55	Professional	26	$10.96	$18.20	$24.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $46.77 / $61.66	Professional	TC	$30.20	$46.77	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $64.57 / $125.89	Professional		$47.86	$64.57	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $17.38 / $33.11	Professional	26	$13.18	$17.38	$33.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $46.77 / $91.20	Professional	TC	$33.88	$46.77	$91.20
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $102.33	Professional		$61.66	$77.62	$102.33
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $19.05 / $23.44	Professional	26	$14.13	$19.05	$23.44
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $58.88 / $77.62	Professional	TC	$45.71	$58.88	$77.62
Health New England Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $60.26 / $162.18	Professional		$10.96	$60.26	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $56.23 / $109.65	Professional		$40.74	$56.23	$109.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $15.14 / $29.51	Professional	26	$10.96	$15.14	$29.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $41.69 / $79.43	Professional	TC	$28.84	$41.69	$79.43