Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.82 / $82.03 / $336.43	Facility		$42.82	$82.03	$336.43
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.47 / $32.19 / $38.36	Facility	26	$9.47	$32.19	$38.36
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.06 / $62.58 / $309.17	Facility	TC	$29.06	$62.58	$309.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $37.86 / $154.00	Professional		$24.30	$37.86	$154.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.67 / $11.10 / $45.96	Professional	26	$6.67	$11.10	$45.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.45 / $26.02 / $110.00	Professional	TC	$15.45	$26.02	$110.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.46 / $55.37 / $93.33	Facility		$32.46	$55.37	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $39.82 / $50.01	Professional		$25.76	$39.82	$50.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.37 / $12.99 / $15.83	Professional	26	$7.37	$12.99	$15.83
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.95 / $28.31 / $35.14	Professional	TC	$17.95	$28.31	$35.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.40 / $80.63 / $342.17	Facility		$38.40	$80.63	$342.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $41.41 / $75.26	Professional		$32.90	$41.41	$75.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.60 / $11.78 / $19.45	Professional	26	$9.60	$11.78	$19.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.32 / $29.35 / $55.82	Professional	TC	$23.32	$29.35	$55.82
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $26.84 / $32.81 / $41.79	Professional		$26.84	$32.81	$41.79
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $8.81 / $9.53 / $17.34	Professional	26	$8.81	$9.53	$17.34
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $18.04 / $23.28 / $39.69	Professional	TC	$18.04	$23.28	$39.69
Health New England Facility/Professional Facility Modifier Low / Median / High Price $81.75 / $198.53 / $235.66	Facility		$81.75	$198.53	$235.66
Health New England Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $17.71 / $61.03	Professional		$13.10	$17.71	$61.03
United Facility/Professional Professional Modifier Low / Median / High Price $24.41 / $41.09 / $63.10	Professional		$24.41	$41.09	$63.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.90 / $12.48 / $19.01	Professional	26	$7.90	$12.48	$19.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.46 / $28.91 / $44.09	Professional	TC	$17.46	$28.91	$44.09