Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.54 / $22.05 / $50.90	Facility	26	$12.54	$22.05	$50.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.94 / $63.54 / $171.47	Professional		$50.94	$63.54	$171.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $9.28 / $32.61	Professional	26	$7.66	$9.28	$32.61
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $24.34 / $28.78 / $41.38	Professional	52	$24.34	$28.78	$41.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.95 / $49.42 / $82.17	Professional	TC	$42.95	$49.42	$82.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $80.76 / $108.05	Professional		$51.43	$80.76	$108.05
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.68 / $12.09 / $16.61	Professional	26	$7.68	$12.09	$16.61
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.14 / $67.34 / $91.52	Professional	TC	$44.14	$67.34	$91.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.19 / $82.27 / $157.52	Professional		$63.19	$82.27	$157.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.86 / $12.54 / $24.66	Professional	26	$9.86	$12.54	$24.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.39 / $70.64 / $134.09	Professional	TC	$53.39	$70.64	$134.09
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $69.68 / $87.79 / $112.28	Professional		$69.68	$87.79	$112.28
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $12.63 / $17.84	Professional	26	$10.47	$12.63	$17.84
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $58.75 / $74.94 / $95.76	Professional	TC	$58.75	$74.94	$95.76
Health New England Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $20.16 / $150.00	Professional		$9.75	$20.16	$150.00
Health New England Facility/Professional Professional Modifier 26 Low / Median / High Price $20.13 / $20.13 / $20.13	Professional	26	$20.13	$20.13	$20.13
United Facility/Professional Professional Modifier Low / Median / High Price $53.79 / $79.09 / $156.38	Professional		$53.79	$79.09	$156.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.58 / $12.07 / $24.37	Professional	26	$8.58	$12.07	$24.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.36 / $66.77 / $132.01	Professional	TC	$45.36	$66.77	$132.01