Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $92.01 / $350.35	Facility		$55.28	$92.01	$350.35
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.10 / $37.63 / $49.11	Facility	26	$12.10	$37.63	$49.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $41.23 / $151.00	Professional		$23.66	$41.23	$151.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $21.94 / $60.87	Professional	26	$9.41	$21.94	$60.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.88 / $24.72 / $99.00	Professional	TC	$16.88	$24.72	$99.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.20 / $60.71 / $102.33	Facility		$37.20	$60.71	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $52.12 / $64.70	Professional		$33.92	$52.12	$64.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.32 / $15.57 / $19.85	Professional	26	$9.32	$15.57	$19.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.02 / $36.25 / $44.18	Professional	TC	$24.02	$36.25	$44.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.79 / $88.21 / $235.63	Facility		$46.79	$88.21	$235.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $53.35 / $87.00	Professional		$39.89	$53.35	$87.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.87 / $14.57 / $24.85	Professional	26	$11.87	$14.57	$24.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.30 / $38.00 / $60.82	Professional	TC	$27.30	$38.00	$60.82
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $33.28 / $41.06 / $51.48	Professional		$33.28	$41.06	$51.48
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.18 / $22.26	Professional	26	$10.00	$12.18	$22.26
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $22.13 / $30.76 / $52.51	Professional	TC	$22.13	$30.76	$52.51
Health New England Facility/Professional Facility Modifier Low / Median / High Price $95.25 / $95.25 / $216.89	Facility		$95.25	$95.25	$216.89
Health New England Facility/Professional Professional Modifier Low / Median / High Price $15.10 / $21.63 / $62.05	Professional		$15.10	$21.63	$62.05
United Facility/Professional Professional Modifier Low / Median / High Price $31.52 / $50.53 / $78.84	Professional		$31.52	$50.53	$78.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.83 / $15.94 / $24.32	Professional	26	$9.83	$15.94	$24.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.52 / $35.24 / $54.52	Professional	TC	$21.52	$35.24	$54.52