Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $43.65 / $51.29	Facility	26	$12.02	$43.65	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $61.66 / $154.88	Professional		$50.12	$61.66	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.33 / $33.11	Professional	26	$7.94	$9.33	$33.11
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $8.13 / $8.32 / $39.81	Professional	52	$8.13	$8.32	$39.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $50.12 / $95.50	Professional	TC	$40.74	$50.12	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $81.28 / $112.20	Professional		$53.70	$81.28	$112.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $12.30 / $16.98	Professional	26	$7.76	$12.30	$16.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $69.18 / $93.33	Professional	TC	$45.71	$69.18	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $158.49	Professional		$60.26	$83.18	$158.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $12.59 / $24.55	Professional	26	$9.55	$12.59	$24.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $70.79 / $134.90	Professional	TC	$51.29	$70.79	$134.90
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $128.82	Professional		$79.43	$100.00	$128.82
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $14.13 / $18.20	Professional	26	$10.96	$14.13	$18.20
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $85.11 / $112.20	Professional	TC	$67.61	$85.11	$112.20
Health New England Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $20.89 / $204.17	Professional		$10.47	$20.89	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $141.25	Professional		$51.29	$72.44	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.96 / $21.88	Professional	26	$8.13	$10.96	$21.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $61.66 / $120.23	Professional	TC	$43.65	$61.66	$120.23