Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.56 / $67.09 / $94.34	Professional		$44.56	$67.09	$94.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.16 / $23.19 / $33.57	Professional	26	$14.16	$23.19	$33.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.59 / $49.64 / $64.52	Professional	TC	$28.59	$49.64	$64.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $105.65 / $122.84	Professional		$80.06	$105.65	$122.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.53 / $32.52 / $45.89	Professional	26	$24.53	$32.52	$45.89
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $55.53 / $71.62 / $84.42	Professional	TC	$55.53	$71.62	$84.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.32 / $45.32 / $45.32	Facility		$45.32	$45.32	$45.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.94 / $60.62 / $130.69	Professional		$36.94	$60.62	$130.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.57 / $22.22 / $45.33	Professional	26	$11.57	$22.22	$45.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.85 / $32.07 / $87.43	Professional	TC	$21.85	$32.07	$87.43
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $82.04 / $135.28	Professional		$52.07	$82.04	$135.28
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $15.72 / $31.37 / $47.56	Professional	26	$15.72	$31.37	$47.56
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $14.50 / $51.41 / $95.50	Professional	TC	$14.50	$51.41	$95.50
Health New England Facility/Professional Professional Modifier Low / Median / High Price $174.50 / $174.50 / $174.50	Professional		$174.50	$174.50	$174.50
United Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $99.49 / $199.16	Professional		$40.42	$99.49	$199.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.65 / $35.74 / $68.00	Professional	26	$14.65	$35.74	$68.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.30 / $63.52 / $135.63	Professional	TC	$24.30	$63.52	$135.63