Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.87 / $100.75 / $350.89	Facility		$58.87	$100.75	$350.89
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.10 / $38.75 / $49.11	Facility	26	$12.10	$38.75	$49.11
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $38.72 / $92.22 / $351.77	Facility	TC	$38.72	$92.22	$351.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $56.93 / $204.00	Professional		$36.65	$56.93	$204.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $16.52 / $63.00	Professional	26	$10.02	$16.52	$63.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.78 / $33.59 / $135.87	Professional	TC	$18.78	$33.59	$135.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $70.28 / $118.46	Facility		$42.13	$70.28	$118.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $56.91 / $70.65	Professional		$36.72	$56.91	$70.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.32 / $16.36 / $19.94	Professional	26	$9.32	$16.36	$19.94
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.76 / $41.98 / $49.21	Professional	TC	$26.76	$41.98	$49.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.01 / $100.93 / $342.17	Facility		$57.01	$100.93	$342.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.79 / $58.26 / $95.23	Professional		$44.79	$58.26	$95.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.33 / $15.06 / $24.85	Professional	26	$12.33	$15.06	$24.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.83 / $43.20 / $67.75	Professional	TC	$31.83	$43.20	$67.75
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $39.44 / $46.48 / $55.74	Professional		$39.44	$46.48	$55.74
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $10.99 / $12.18 / $22.26	Professional	26	$10.99	$12.18	$22.26
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $29.62 / $34.29 / $58.61	Professional	TC	$29.62	$34.29	$58.61
Health New England Facility/Professional Facility Modifier Low / Median / High Price $243.46 / $264.80 / $289.39	Facility		$243.46	$264.80	$289.39
Health New England Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $31.13 / $87.46	Professional		$16.77	$31.13	$87.46
United Facility/Professional Professional Modifier Low / Median / High Price $33.25 / $55.84 / $84.45	Professional		$33.25	$55.84	$84.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.15 / $15.94 / $23.10	Professional	26	$10.15	$15.94	$23.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.70 / $39.42 / $69.93	Professional	TC	$23.70	$39.42	$69.93