Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.27 / $85.11 / $322.95	Facility		$50.27	$85.11	$322.95
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.10 / $37.63 / $44.48	Facility	26	$12.10	$37.63	$44.48
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.61 / $74.22 / $313.19	Facility	TC	$28.61	$74.22	$313.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.98 / $50.15 / $172.00	Professional		$26.98	$50.15	$172.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $14.91 / $56.74	Professional	26	$8.52	$14.91	$56.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.71 / $25.73 / $108.00	Professional	TC	$17.71	$25.73	$108.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.34 / $69.20 / $116.66	Facility		$38.34	$69.20	$116.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $49.40 / $61.33	Professional		$30.29	$49.40	$61.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.48 / $15.40 / $19.85	Professional	26	$8.48	$15.40	$19.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.28 / $33.75 / $41.69	Professional	TC	$21.28	$33.75	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $91.67 / $342.17	Facility		$45.96	$91.67	$342.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.96 / $50.24 / $81.27	Professional		$37.96	$50.24	$81.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.49 / $14.28 / $24.85	Professional	26	$11.49	$14.28	$24.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.01 / $36.10 / $63.19	Professional	TC	$28.01	$36.10	$63.19
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $34.43 / $41.82 / $52.85	Professional		$34.43	$41.82	$52.85
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $10.34 / $11.04 / $20.14	Professional	26	$10.34	$11.04	$20.14
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $23.15 / $27.61 / $47.12	Professional	TC	$23.15	$27.61	$47.12
Health New England Facility/Professional Facility Modifier Low / Median / High Price $103.50 / $236.60 / $250.25	Facility		$103.50	$236.60	$250.25
Health New England Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.69 / $65.22	Professional		$14.13	$20.69	$65.22
United Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $45.98 / $70.13	Professional		$29.60	$45.98	$70.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $15.02 / $25.63	Professional	26	$9.19	$15.02	$25.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.13 / $31.53 / $48.12	Professional	TC	$21.13	$31.53	$48.12