Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $436.52	Facility		$60.26	$100.00	$436.52
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $41.69 / $186.21	Facility	26	$13.18	$41.69	$186.21
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $48.98 / $87.10 / $275.42	Facility	TC	$48.98	$87.10	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $42.66 / $162.18	Professional		$25.12	$42.66	$162.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.22 / $46.77	Professional	26	$7.94	$11.22	$46.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $26.92 / $70.79	Professional	TC	$16.98	$26.92	$70.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $54.95 / $87.10	Facility		$38.90	$54.95	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $47.86 / $63.10	Professional		$29.51	$47.86	$63.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $15.14 / $22.91	Professional	26	$8.91	$15.14	$22.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $31.62 / $41.69	Professional	TC	$20.42	$31.62	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $89.13 / $147.91	Facility		$22.39	$89.13	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $47.86 / $77.62	Professional		$31.62	$47.86	$77.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $15.14 / $26.30	Professional	26	$10.47	$15.14	$26.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $31.62 / $54.95	Professional	TC	$20.42	$31.62	$54.95
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.90 / $51.29	Professional		$31.62	$38.90	$51.29
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $13.49 / $16.60	Professional	26	$9.55	$13.49	$16.60
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $31.62 / $39.81	Professional	TC	$18.62	$31.62	$39.81
Health New England Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $245.47 / $269.15	Facility		$102.33	$245.47	$269.15
Health New England Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $21.88 / $70.79	Professional		$14.79	$21.88	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $39.81 / $66.07	Professional		$25.70	$39.81	$66.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $12.59 / $20.89	Professional	26	$8.71	$12.59	$20.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $26.30 / $45.71	Professional	TC	$16.98	$26.30	$45.71