Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $72.44 / $295.12	Professional		$44.67	$72.44	$295.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $54.95 / $186.21	Professional	26	$20.89	$54.95	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $47.86 / $112.20	Professional	TC	$26.92	$47.86	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $204.17	Professional		$93.33	$144.54	$204.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $77.62 / $112.20	Professional	26	$38.90	$77.62	$112.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $66.07 / $95.50	Professional	TC	$53.70	$66.07	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $81.28 / $147.91	Professional		$40.74	$81.28	$147.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $34.67 / $100.00	Professional	26	$16.60	$34.67	$100.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $43.65 / $83.18	Professional	TC	$22.91	$43.65	$83.18
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $162.18	Professional		$70.79	$95.50	$162.18
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $48.98 / $102.33	Professional	26	$27.54	$48.98	$102.33
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $61.66 / $87.10	Professional	TC	$42.66	$61.66	$87.10
Health New England Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $151.36 / $177.83	Professional		$25.12	$151.36	$177.83
Health New England Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $27.54 / $27.54	Professional	26	$27.54	$27.54	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $107.15 / $204.17	Professional		$43.65	$107.15	$204.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $47.86 / $100.00	Professional	26	$17.78	$47.86	$100.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $60.26 / $123.03	Professional	TC	$25.70	$60.26	$123.03