Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $107.15 / $446.68	Facility		$60.26	$107.15	$446.68
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $30.90 / $36.31	Facility	26	$10.23	$30.90	$36.31
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 $10.47 / $36.31 / $138.04	Professional		$10.47	$36.31	$138.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $14.45 / $46.77	Professional	26	$6.92	$14.45	$46.77
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $36.31 / $112.20 / $275.42	Professional	50	$36.31	$112.20	$275.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $28.18 / $72.44	Professional	TC	$15.85	$28.18	$72.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $58.88 / $100.00	Facility		$38.02	$58.88	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $41.69 / $66.07	Professional		$27.54	$41.69	$66.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $11.22 / $16.22	Professional	26	$6.46	$11.22	$16.22
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $38.90 / $61.66 / $85.11	Professional	50	$38.90	$61.66	$85.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $29.51 / $45.71	Professional	TC	$20.42	$29.51	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $85.11 / $199.53	Facility		$23.44	$85.11	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $44.67 / $77.62	Professional		$29.51	$44.67	$77.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $11.48 / $19.05	Professional	26	$7.76	$11.48	$19.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $31.62 / $70.79	Professional	TC	$18.20	$31.62	$70.79
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $35.48 / $46.77	Professional		$27.54	$35.48	$46.77
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.47 / $12.59	Professional	26	$7.76	$10.47	$12.59
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $32.36 / $40.74	Professional	TC	$19.50	$32.36	$40.74
Health New England Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $223.87 / $239.88	Facility		$83.18	$223.87	$239.88
Health New England Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.49 / $66.07	Professional		$11.22	$15.49	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $37.15 / $61.66	Professional		$23.99	$37.15	$61.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $9.33 / $15.49	Professional	26	$6.61	$9.33	$15.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $27.54 / $46.77	Professional	TC	$17.78	$27.54	$46.77