Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $79.65 / $265.38	Facility		$43.19	$79.65	$265.38
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.47 / $28.78 / $38.36	Facility	26	$9.47	$28.78	$38.36
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.91 / $73.53 / $245.67	Facility	TC	$26.91	$73.53	$245.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $43.30 / $159.00	Professional		$21.85	$43.30	$159.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.30 / $12.84 / $43.02	Professional	26	$7.30	$12.84	$43.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.29 / $23.45 / $117.00	Professional	TC	$15.29	$23.45	$117.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.72 / $60.71 / $102.33	Facility		$33.72	$60.71	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.11 / $46.52 / $57.75	Professional		$30.11	$46.52	$57.75
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.37 / $12.16 / $15.53	Professional	26	$7.37	$12.16	$15.53
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.20 / $34.04 / $40.82	Professional	TC	$22.20	$34.04	$40.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.13 / $86.58 / $235.63	Facility		$45.13	$86.58	$235.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.06 / $47.55 / $78.33	Professional		$37.06	$47.55	$78.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.52 / $11.61 / $19.45	Professional	26	$9.52	$11.61	$19.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.46 / $35.54 / $56.88	Professional	TC	$26.46	$35.54	$56.88
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $37.02 / $45.59	Professional		$30.05	$37.02	$45.59
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $7.82 / $9.53 / $17.34	Professional	26	$7.82	$9.53	$17.34
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $21.11 / $28.79 / $49.15	Professional	TC	$21.11	$28.79	$49.15
Health New England Facility/Professional Facility Modifier Low / Median / High Price $88.50 / $143.65 / $233.48	Facility		$88.50	$143.65	$233.48
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.83 / $17.57 / $63.38	Professional		$12.83	$17.57	$63.38
United Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $44.46 / $69.51	Professional		$27.30	$44.46	$69.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.90 / $12.38 / $19.01	Professional	26	$7.90	$12.38	$19.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.39 / $31.86 / $50.50	Professional	TC	$19.39	$31.86	$50.50