Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $87.10 / $295.12	Facility		$64.57	$87.10	$295.12
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 $48.98 / $77.62 / $245.47	Facility	TC	$48.98	$77.62	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $43.65 / $154.88	Professional		$25.12	$43.65	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $12.30 / $31.62	Professional	26	$7.08	$12.30	$31.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $25.12 / $72.44	Professional	TC	$16.98	$25.12	$72.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $64.57 / $109.65	Facility		$39.81	$64.57	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $43.65 / $67.61	Professional		$28.84	$43.65	$67.61
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $11.75 / $17.38	Professional	26	$6.92	$11.75	$17.38
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $30.90 / $46.77	Professional	TC	$21.38	$30.90	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $89.13 / $223.87	Facility		$23.44	$89.13	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $46.77 / $81.28	Professional		$30.90	$46.77	$81.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.02 / $19.95	Professional	26	$7.94	$12.02	$19.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $33.88 / $70.79	Professional	TC	$19.50	$33.88	$70.79
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.02 / $48.98	Professional		$30.20	$38.02	$48.98
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $11.48 / $13.80	Professional	26	$7.76	$11.48	$13.80
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $32.36 / $40.74	Professional	TC	$20.89	$32.36	$40.74
Health New England Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $144.54 / $234.42	Facility		$89.13	$144.54	$234.42
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.85 / $69.18	Professional		$12.30	$15.85	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.02 / $63.10	Professional		$25.70	$38.02	$63.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $10.23 / $16.60	Professional	26	$6.76	$10.23	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $27.54 / $47.86	Professional	TC	$18.62	$27.54	$47.86