Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $89.13 / $104.71	Facility	26	$25.70	$89.13	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $75.86 / $407.38	Professional		$52.48	$75.86	$407.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $25.70 / $120.23	Professional	26	$15.85	$25.70	$120.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $28.84 / $28.84 / $28.84	Professional	50	$28.84	$28.84	$28.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $44.67 / $91.20	Professional	TC	$35.48	$44.67	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $79.43 / $117.49	Professional		$50.12	$79.43	$117.49
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $23.99 / $36.31	Professional	26	$15.85	$23.99	$36.31
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $54.95 / $79.43	Professional	TC	$33.11	$54.95	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $199.53	Professional		$70.79	$97.72	$199.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $29.51 / $57.54	Professional	26	$20.89	$29.51	$57.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $69.18 / $141.25	Professional	TC	$47.86	$69.18	$141.25
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $134.90	Professional		$66.07	$91.20	$134.90
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $25.70 / $38.90	Professional	26	$18.62	$25.70	$38.90
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $67.61 / $95.50	Professional	TC	$47.86	$67.61	$95.50
Health New England Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.11 / $190.55	Professional		$30.90	$33.11	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $87.10 / $169.82	Professional		$60.26	$87.10	$169.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $25.12 / $50.12	Professional	26	$17.78	$25.12	$50.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $61.66 / $123.03	Professional	TC	$42.66	$61.66	$123.03