Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.59 / $23.89 / $67.59	Professional		$16.59	$23.89	$67.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.49 / $18.26 / $49.56	Professional	26	$12.49	$18.26	$49.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $4.09 / $6.27 / $10.86	Professional	TC	$4.09	$6.27	$10.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $41.81 / $49.13	Professional		$33.63	$41.81	$49.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.79 / $31.48 / $44.18	Professional	26	$23.79	$31.48	$44.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.96 / $10.63 / $14.37	Professional	TC	$8.96	$10.63	$14.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $30.11 / $59.40	Professional		$15.27	$30.11	$59.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $21.55 / $44.70	Professional	26	$11.22	$21.55	$44.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.81 / $7.34 / $16.13	Professional	TC	$3.81	$7.34	$16.13
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $39.36 / $55.67	Professional		$21.76	$39.36	$55.67
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $15.25 / $30.24 / $39.68	Professional	26	$15.25	$30.24	$39.68
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $6.51 / $9.21 / $17.05	Professional	TC	$6.51	$9.21	$17.05
Health New England Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $87.59 / $94.02	Professional		$80.00	$87.59	$94.02
United Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $44.03 / $93.76	Professional		$17.03	$44.03	$93.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.87 / $32.86 / $61.90	Professional	26	$12.87	$32.86	$61.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.67 / $11.44 / $24.66	Professional	TC	$4.67	$11.44	$24.66