Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.58 / $98.32 / $344.59	Facility		$54.58	$98.32	$344.59
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $34.86 / $41.02	Facility	26	$10.23	$34.86	$41.02
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.06 / $81.56 / $142.55	Facility	TC	$29.06	$81.56	$142.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.63 / $46.98 / $161.00	Professional		$19.63	$46.98	$161.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $17.96 / $54.14	Professional	26	$8.46	$17.96	$54.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.70 / $74.00 / $141.18	Professional	50	$72.70	$74.00	$141.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.52 / $26.02 / $99.00	Professional	TC	$18.52	$26.02	$99.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $56.09 / $94.55	Facility		$39.47	$56.09	$94.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.01 / $48.09 / $58.92	Professional		$33.01	$48.09	$58.92
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.74 / $13.20 / $15.94	Professional	26	$7.74	$13.20	$15.94
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $49.51 / $70.95 / $85.83	Professional	50	$49.51	$70.95	$85.83
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.26 / $34.90 / $43.68	Professional	TC	$25.26	$34.90	$43.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.28 / $90.04 / $160.54	Facility		$71.28	$90.04	$160.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $49.32 / $80.97	Professional		$38.47	$49.32	$80.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.97 / $12.86 / $20.46	Professional	26	$9.97	$12.86	$20.46
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $49.18 / $49.18 / $49.18	Professional	50	$49.18	$49.18	$49.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.30 / $36.32 / $60.96	Professional	TC	$27.30	$36.32	$60.96
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $41.70 / $50.28	Professional		$33.54	$41.70	$50.28
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $9.90 / $18.05	Professional	26	$8.46	$9.90	$18.05
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $21.79 / $31.93 / $54.54	Professional	TC	$21.79	$31.93	$54.54
Health New England Facility/Professional Facility Modifier Low / Median / High Price $95.25 / $210.60 / $271.19	Facility		$95.25	$210.60	$271.19
Health New England Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $27.09 / $74.14	Professional		$13.62	$27.09	$74.14
United Facility/Professional Professional Modifier Low / Median / High Price $30.97 / $49.92 / $76.66	Professional		$30.97	$49.92	$76.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.97 / $12.94 / $19.73	Professional	26	$7.97	$12.94	$19.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.66 / $35.88 / $56.92	Professional	TC	$22.66	$35.88	$56.92