Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $87.10 / $363.08	Facility		$52.48	$87.10	$363.08
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $33.88 / $39.81	Facility	26	$10.47	$33.88	$39.81
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $40.74 / $63.10 / $309.03	Facility	TC	$40.74	$63.10	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $41.69 / $123.03	Professional		$22.91	$41.69	$123.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.55 / $34.67	Professional	26	$7.08	$9.55	$34.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $21.88 / $64.57	Professional	TC	$14.79	$21.88	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $58.88 / $100.00	Facility		$37.15	$58.88	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $39.81 / $60.26	Professional		$24.55	$39.81	$60.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $12.02 / $17.78	Professional	26	$6.92	$12.02	$17.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $26.30 / $40.74	Professional	TC	$17.38	$26.30	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $87.10 / $199.53	Facility		$19.05	$87.10	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $77.62	Professional		$30.20	$42.66	$77.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.30 / $19.95	Professional	26	$7.94	$12.30	$19.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $28.84 / $60.26	Professional	TC	$18.20	$28.84	$60.26
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $35.48 / $43.65	Professional		$26.92	$35.48	$43.65
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $11.48 / $13.80	Professional	26	$8.71	$11.48	$13.80
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $28.84 / $33.88	Professional	TC	$18.20	$28.84	$33.88
Health New England Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $199.53 / $234.42	Facility		$81.28	$199.53	$234.42
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.60 / $58.88	Professional		$12.30	$16.60	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $35.48 / $56.23	Professional		$23.44	$35.48	$56.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $10.23 / $16.98	Professional	26	$6.76	$10.23	$16.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $23.99 / $39.81	Professional	TC	$16.60	$23.99	$39.81