Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $41.33 / $73.43	Professional		$20.91	$41.33	$73.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.78 / $5.40 / $17.55	Professional	26	$3.78	$5.40	$17.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.30 / $31.72 / $62.69	Professional	TC	$16.30	$31.72	$62.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $57.13 / $90.23	Professional		$39.11	$57.13	$90.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $9.81 / $12.52	Professional	26	$7.59	$9.81	$12.52
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.52 / $46.05 / $79.22	Professional	TC	$31.52	$46.05	$79.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.29 / $31.29 / $31.29	Facility		$31.29	$31.29	$31.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $34.95 / $69.53	Professional		$17.50	$34.95	$69.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.50 / $8.03 / $14.54	Professional	26	$3.50	$8.03	$14.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.45 / $30.11 / $54.87	Professional	TC	$13.45	$30.11	$54.87
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $42.64 / $161.19	Professional		$11.40	$42.64	$161.19
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $5.86 / $12.56 / $26.56	Professional	26	$5.86	$12.56	$26.56
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $20.07 / $40.95 / $56.15	Professional	TC	$20.07	$40.95	$56.15
Health New England Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $28.61 / $127.39	Professional		$11.48	$28.61	$127.39
United Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $52.41 / $112.26	Professional		$19.00	$52.41	$112.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.05 / $11.01 / $23.02	Professional	26	$4.05	$11.01	$23.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.00 / $48.05 / $87.46	Professional	TC	$21.00	$48.05	$87.46