Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.45 / $49.94 / $113.87	Facility	26	$36.45	$49.94	$113.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $68.28 / $282.00	Professional		$48.56	$68.28	$282.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.82 / $32.10 / $73.14	Professional	26	$25.82	$32.10	$73.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.92 / $31.42 / $160.00	Professional	TC	$19.92	$31.42	$160.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.49 / $93.75 / $114.31	Professional		$49.49	$93.75	$114.31
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.66 / $51.02 / $62.21	Professional	26	$28.66	$51.02	$62.21
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.76 / $42.07 / $52.09	Professional	TC	$20.76	$42.07	$52.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $39.28 / $39.28	Professional		$39.28	$39.28	$39.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.29 / $25.29 / $25.29	Professional	26	$25.29	$25.29	$25.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.99 / $13.99 / $13.99	Professional	TC	$13.99	$13.99	$13.99
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $50.84 / $62.63 / $121.80	Professional		$50.84	$62.63	$121.80
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $32.34 / $39.29 / $76.72	Professional	26	$32.34	$39.29	$76.72
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $18.48 / $23.34 / $45.05	Professional	TC	$18.48	$23.34	$45.05
Health New England Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $46.77 / $99.34	Professional		$24.59	$46.77	$99.34
United Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $78.55 / $136.19	Professional		$48.34	$78.55	$136.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.08 / $42.27 / $72.81	Professional	26	$26.08	$42.27	$72.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.27 / $36.79 / $61.05	Professional	TC	$22.27	$36.79	$61.05