Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $158.49 / $707.95	Facility		$43.65	$158.49	$707.95
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $35.48 / $48.98	Facility	26	$10.96	$35.48	$48.98
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $35.48 / $57.54 / $251.19	Facility	TC	$35.48	$57.54	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.18 / $102.33	Professional		$16.98	$28.18	$102.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $9.33 / $40.74	Professional	26	$7.76	$9.33	$40.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.12 / $15.85 / $46.77	Professional	TC	$9.12	$15.85	$46.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $34.67 / $46.77	Facility		$23.44	$34.67	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.11 / $45.71	Professional		$22.39	$33.11	$45.71
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $12.59 / $19.05	Professional	26	$7.41	$12.59	$19.05
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $18.20 / $28.18	Professional	TC	$14.13	$18.20	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $77.62 / $114.82	Facility		$16.98	$77.62	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.88 / $60.26	Professional		$20.89	$33.88	$60.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $12.88 / $22.39	Professional	26	$8.71	$12.88	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $20.42 / $40.74	Professional	TC	$12.88	$20.42	$40.74
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.12 / $36.31	Professional		$20.42	$25.12	$36.31
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $11.22 / $13.80	Professional	26	$8.13	$11.22	$13.80
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $10.23 / $23.44 / $29.51	Professional	TC	$10.23	$23.44	$29.51
Health New England Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $181.97 / $331.13	Facility		$77.62	$181.97	$331.13
Health New England Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.22 / $40.74	Professional		$11.75	$16.22	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.84 / $51.29	Professional		$19.95	$28.84	$51.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $10.47 / $17.38	Professional	26	$7.41	$10.47	$17.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.22 / $18.62 / $33.88	Professional	TC	$11.22	$18.62	$33.88