Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $47.38 / $93.55	Professional		$33.02	$47.38	$93.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.05 / $18.98 / $35.61	Professional	26	$14.05	$18.98	$35.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.97 / $27.21 / $57.94	Professional	TC	$18.97	$27.21	$57.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.28 / $94.91 / $138.63	Professional		$75.28	$94.91	$138.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.53 / $36.13 / $44.71	Professional	26	$27.53	$36.13	$44.71
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.91 / $57.87 / $98.42	Professional	TC	$43.91	$57.87	$98.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.36 / $52.67 / $147.84	Professional		$31.36	$52.67	$147.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.71 / $24.96 / $50.04	Professional	26	$12.71	$24.96	$50.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.53 / $34.60 / $105.38	Professional	TC	$16.53	$34.60	$105.38
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $86.37 / $162.78	Professional		$42.00	$86.37	$162.78
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $17.89 / $35.68 / $46.57	Professional	26	$17.89	$35.68	$46.57
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $12.18 / $63.15 / $117.54	Professional	TC	$12.18	$63.15	$117.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $105.57 / $105.57 / $105.57	Professional		$105.57	$105.57	$105.57
United Facility/Professional Professional Modifier Low / Median / High Price $41.79 / $102.21 / $231.90	Professional		$41.79	$102.21	$231.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.43 / $40.11 / $72.66	Professional	26	$16.43	$40.11	$72.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.10 / $69.28 / $156.62	Professional	TC	$24.10	$69.28	$156.62