Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.08 / $103.46 / $314.86	Facility		$51.08	$103.46	$314.86
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.10 / $29.46 / $36.85	Facility	26	$9.10	$29.46	$36.85
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.94 / $73.53 / $113.19	Facility	TC	$25.94	$73.53	$113.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $43.30 / $149.00	Professional		$20.80	$43.30	$149.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.63 / $13.55 / $47.97	Professional	26	$7.63	$13.55	$47.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $23.23 / $112.00	Professional	TC	$14.13	$23.23	$112.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.40 / $60.71 / $102.33	Facility		$33.40	$60.71	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $45.60 / $56.61	Professional		$29.53	$45.60	$56.61
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.80 / $12.03 / $14.93	Professional	26	$6.80	$12.03	$14.93
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.20 / $34.60 / $41.66	Professional	TC	$22.20	$34.60	$41.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.27 / $86.58 / $235.63	Facility		$44.27	$86.58	$235.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $46.67 / $78.33	Professional		$37.04	$46.67	$78.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.99 / $11.43 / $18.69	Professional	26	$8.99	$11.43	$18.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.12 / $35.54 / $56.88	Professional	TC	$26.12	$35.54	$56.88
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $29.67 / $37.08 / $45.41	Professional		$29.67	$37.08	$45.41
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $8.16 / $8.77 / $15.95	Professional	26	$8.16	$8.77	$15.95
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 / $210.60 / $241.06	Facility		$88.50	$210.60	$241.06
Health New England Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $18.86 / $63.43	Professional		$11.21	$18.86	$63.43
United Facility/Professional Professional Modifier Low / Median / High Price $26.91 / $44.46 / $69.56	Professional		$26.91	$44.46	$69.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.32 / $11.90 / $18.27	Professional	26	$7.32	$11.90	$18.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.43 / $33.40 / $51.30	Professional	TC	$20.43	$33.40	$51.30