Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $100.00 / $380.19	Professional		$33.88	$100.00	$380.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $36.31 / $91.20	Professional	26	$10.72	$36.31	$91.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $46.77 / $123.03	Professional	TC	$21.88	$46.77	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $134.90	Professional		$56.23	$87.10	$134.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $17.78 / $29.51	Professional	26	$13.49	$17.78	$29.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $69.18 / $89.13	Professional	TC	$42.66	$69.18	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $44.67 / $91.20	Professional		$28.18	$44.67	$91.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $12.88 / $24.55	Professional	26	$5.89	$12.88	$24.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $33.11 / $66.07	Professional	TC	$18.20	$33.11	$66.07
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $52.48 / $102.33	Professional		$27.54	$52.48	$102.33
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $30.20 / $46.77	Professional	26	$10.96	$30.20	$46.77
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $48.98 / $77.62	Professional	TC	$20.42	$48.98	$77.62
Health New England Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Health New England Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $69.18 / $147.91	Professional		$13.18	$69.18	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $66.07 / $169.82	Professional		$25.70	$66.07	$169.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $18.62 / $40.74	Professional	26	$6.92	$18.62	$40.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $54.95 / $141.25	Professional	TC	$18.20	$54.95	$141.25