Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $41.69 / $134.90	Professional		$19.95	$41.69	$134.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $15.14 / $41.69	Professional	26	$5.01	$15.14	$41.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $30.90 / $144.54	Professional	TC	$15.85	$30.90	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $77.62 / $97.72	Professional		$45.71	$77.62	$97.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.96 / $18.62	Professional	26	$8.13	$10.96	$18.62
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $67.61 / $85.11	Professional	TC	$35.48	$67.61	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $34.67 / $67.61	Professional		$19.05	$34.67	$67.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.63 / $7.76 / $14.13	Professional	26	$3.63	$7.76	$14.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $30.20 / $53.70	Professional	TC	$13.49	$30.20	$53.70
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $42.66 / $177.83	Professional		$11.48	$42.66	$177.83
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $12.88 / $27.54	Professional	26	$7.08	$12.88	$27.54
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $40.74 / $64.57	Professional	TC	$14.45	$40.74	$64.57
Health New England Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $28.18 / $81.28	Professional		$13.49	$28.18	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $52.48 / $112.20	Professional		$19.05	$52.48	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.17 / $10.72 / $22.91	Professional	26	$4.17	$10.72	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $45.71 / $87.10	Professional	TC	$15.85	$45.71	$87.10