Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.35 / $80.27 / $295.70	Facility		$47.35	$80.27	$295.70
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.84 / $34.86 / $41.02	Facility	26	$9.84	$34.86	$41.02
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.79 / $64.47 / $90.12	Facility	TC	$22.79	$64.47	$90.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $53.24 / $147.00	Professional		$24.69	$53.24	$147.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.08 / $20.07 / $51.00	Professional	26	$8.08	$20.07	$51.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.12 / $20.50 / $103.00	Professional	TC	$15.12	$20.50	$103.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.84 / $55.76 / $75.19	Facility		$35.84	$55.76	$75.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.14 / $56.32 / $77.81	Professional		$24.14	$56.32	$77.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.69 / $18.82 / $26.27	Professional	26	$6.69	$18.82	$26.27
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.45 / $38.71 / $51.54	Professional	TC	$17.45	$38.71	$51.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $90.04 / $136.40	Facility		$56.23	$90.04	$136.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.57 / $41.54 / $68.34	Professional		$31.57	$41.54	$68.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.90 / $12.42 / $20.20	Professional	26	$9.90	$12.42	$20.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.78 / $28.95 / $48.93	Professional	TC	$21.78	$28.95	$48.93
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $28.31 / $35.09 / $42.22	Professional		$28.31	$35.09	$42.22
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $9.90 / $18.05	Professional	26	$8.11	$9.90	$18.05
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $17.36 / $25.25 / $43.08	Professional	TC	$17.36	$25.25	$43.08
Health New England Facility/Professional Facility Modifier Low / Median / High Price $82.50 / $235.66 / $637.63	Facility		$82.50	$235.66	$637.63
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $27.09 / $48.89	Professional		$12.66	$27.09	$48.89
United Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $42.37 / $64.64	Professional		$25.41	$42.37	$64.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.23 / $13.14 / $19.73	Professional	26	$8.23	$13.14	$19.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.22 / $28.37 / $44.90	Professional	TC	$17.22	$28.37	$44.90