Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.27 / $94.65 / $428.68	Facility		$66.27	$94.65	$428.68
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.65 / $111.68 / $137.29	Facility	26	$34.65	$111.68	$137.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.35 / $179.53 / $787.71	Professional		$47.35	$179.53	$787.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.80 / $34.65 / $152.96	Professional	26	$27.80	$34.65	$152.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.99 / $54.42 / $240.37	Professional	TC	$21.99	$54.42	$240.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.95 / $211.45 / $301.66	Facility		$68.95	$211.45	$301.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.83 / $133.13 / $320.20	Professional		$53.83	$133.13	$320.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.87 / $43.22 / $55.86	Professional	26	$28.87	$43.22	$55.86
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.31 / $79.39 / $269.64	Professional	TC	$28.31	$79.39	$269.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.55 / $323.45 / $452.34	Facility		$102.55	$323.45	$452.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.44 / $122.10 / $285.20	Professional		$70.44	$122.10	$285.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.86 / $44.13 / $71.69	Professional	26	$34.86	$44.13	$71.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.32 / $76.55 / $215.49	Professional	TC	$32.32	$76.55	$215.49
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $70.69 / $213.71 / $296.63	Professional		$70.69	$213.71	$296.63
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $30.97 / $38.90 / $70.76	Professional	26	$30.97	$38.90	$70.76
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $33.13 / $41.18 / $172.12	Professional	TC	$33.13	$41.18	$172.12
Health New England Facility/Professional Facility Modifier Low / Median / High Price $244.79 / $262.24 / $2,366.00	Facility		$244.79	$262.24	$2,366.00
Health New England Facility/Professional Professional Modifier Low / Median / High Price $42.17 / $62.05 / $93.85	Professional		$42.17	$62.05	$93.85
United Facility/Professional Professional Modifier Low / Median / High Price $50.41 / $92.72 / $196.38	Professional		$50.41	$92.72	$196.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.28 / $41.99 / $74.48	Professional	26	$27.28	$41.99	$74.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.13 / $44.98 / $162.50	Professional	TC	$23.13	$44.98	$162.50