Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $25.70 / $100.00	Professional		$9.77	$25.70	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $9.12 / $14.13	Professional	26	$3.02	$9.12	$14.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.92 / $14.79 / $70.79	Professional	TC	$6.92	$14.79	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $38.90 / $48.98	Professional		$22.39	$38.90	$48.98
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $7.08 / $10.96	Professional	26	$5.37	$7.08	$10.96
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $32.36 / $40.74	Professional	TC	$15.85	$32.36	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $16.98 / $33.88	Professional		$9.33	$16.98	$33.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.40 / $5.01 / $9.12	Professional	26	$2.40	$5.01	$9.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $6.61 / $14.13 / $24.55	Professional	TC	$6.61	$14.13	$24.55
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $21.38 / $43.65	Professional		$7.94	$21.38	$43.65
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $4.57 / $8.51 / $16.60	Professional	26	$4.57	$8.51	$16.60
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $5.75 / $19.05 / $30.90	Professional	TC	$5.75	$19.05	$30.90
Health New England Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $9.55 / $42.66	Professional		$8.51	$9.55	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $25.12 / $56.23	Professional		$9.55	$25.12	$56.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.75 / $7.08 / $14.45	Professional	26	$2.75	$7.08	$14.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $6.92 / $20.42 / $40.74	Professional	TC	$6.92	$20.42	$40.74