Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.73 / $84.18 / $297.07	Facility		$44.73	$84.18	$297.07
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.63 / $36.43 / $42.39	Facility	26	$13.63	$36.43	$42.39
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.51 / $82.59 / $115.34	Facility	TC	$29.51	$82.59	$115.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $40.04 / $174.00	Professional		$27.96	$40.04	$174.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.47 / $13.63 / $61.39	Professional	26	$9.47	$13.63	$61.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.48 / $26.42 / $118.00	Professional	TC	$18.48	$26.42	$118.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $66.03 / $111.29	Facility		$42.13	$66.03	$111.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.51 / $54.12 / $65.16	Professional		$32.51	$54.12	$65.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $14.84 / $20.79	Professional	26	$7.58	$14.84	$20.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.93 / $39.32 / $47.50	Professional	TC	$24.93	$39.32	$47.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.67 / $100.38 / $342.17	Facility		$52.67	$100.38	$342.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $54.18 / $100.38	Professional		$41.31	$54.18	$100.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.01 / $15.28 / $25.44	Professional	26	$11.01	$15.28	$25.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.56 / $40.25 / $69.50	Professional	TC	$29.56	$40.25	$69.50
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $43.12 / $52.73	Professional		$36.64	$43.12	$52.73
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $9.56 / $11.29 / $18.05	Professional	26	$9.56	$11.29	$18.05
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $25.19 / $32.33 / $55.22	Professional	TC	$25.19	$32.33	$55.22
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $21.50 / $56.59	Professional		$12.66	$21.50	$56.59
United Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $51.49 / $79.08	Professional		$32.47	$51.49	$79.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.10 / $14.43 / $22.16	Professional	26	$9.10	$14.43	$22.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.94 / $35.89 / $56.92	Professional	TC	$22.94	$35.89	$56.92