Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $43.95 / $106.64	Professional		$31.76	$43.95	$106.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.23 / $27.61 / $68.95	Professional	26	$17.23	$27.61	$68.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $18.39 / $30.53	Professional	TC	$12.88	$18.39	$30.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.09 / $76.78 / $93.61	Professional		$64.09	$76.78	$93.61
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.47 / $49.22 / $58.48	Professional	26	$38.47	$49.22	$58.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.09 / $28.90 / $36.08	Professional	TC	$25.09	$28.90	$36.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.49 / $57.79 / $112.28	Professional		$28.49	$57.79	$112.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.71 / $38.63 / $72.59	Professional	26	$17.71	$38.63	$72.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.76 / $15.46 / $42.95	Professional	TC	$10.76	$15.46	$42.95
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $49.84 / $73.01 / $106.55	Professional		$49.84	$73.01	$106.55
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $24.89 / $49.61 / $64.79	Professional	26	$24.89	$49.61	$64.79
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $16.55 / $23.42 / $43.69	Professional	TC	$16.55	$23.42	$43.69
Health New England Facility/Professional Professional Modifier Low / Median / High Price $29.82 / $74.25 / $264.45	Professional		$29.82	$74.25	$264.45
United Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $85.53 / $164.89	Professional		$33.75	$85.53	$164.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.40 / $57.26 / $102.71	Professional	26	$23.40	$57.26	$102.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.70 / $32.39 / $63.69	Professional	TC	$12.70	$32.39	$63.69