Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.92 / $77.62	Professional		$18.20	$26.92	$77.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $51.29 / $186.21	Professional	26	$15.49	$51.29	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.98 / $6.03 / $14.45	Professional	TC	$3.98	$6.03	$14.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $46.77 / $75.86	Professional		$35.48	$46.77	$75.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $34.67 / $58.88	Professional	26	$26.30	$34.67	$58.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.33 / $11.48 / $17.78	Professional	TC	$9.33	$11.48	$17.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.39 / $58.88	Professional		$16.22	$22.39	$58.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $16.22 / $41.69	Professional	26	$11.48	$16.22	$41.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.98 / $6.17 / $15.85	Professional	TC	$3.98	$6.17	$15.85
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $56.23	Professional		$30.90	$39.81	$56.23
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $30.20 / $39.81	Professional	26	$21.38	$30.20	$39.81
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $9.12 / $9.33 / $17.38	Professional	TC	$9.12	$9.33	$17.38
Health New England Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $42.66 / $89.13	Professional		$17.78	$42.66	$89.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $32.36 / $67.61	Professional	26	$13.49	$32.36	$67.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.37 / $10.72 / $24.55	Professional	TC	$4.37	$10.72	$24.55