Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $54.88 / $159.12	Professional		$29.14	$54.88	$159.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.30 / $11.78 / $46.08	Professional	26	$6.30	$11.78	$46.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.00 / $39.40 / $69.87	Professional	TC	$22.00	$39.40	$69.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $73.47 / $107.49	Professional		$29.04	$73.47	$107.49
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.47 / $16.52 / $23.38	Professional	26	$12.47	$16.52	$23.38
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.82 / $67.20 / $86.03	Professional	TC	$37.82	$67.20	$86.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.06 / $40.06 / $40.06	Facility		$40.06	$40.06	$40.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $45.42 / $94.41	Professional		$25.14	$45.42	$94.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.83 / $13.26 / $25.02	Professional	26	$5.83	$13.26	$25.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.46 / $33.82 / $65.83	Professional	TC	$16.46	$33.82	$65.83
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $27.53 / $63.97 / $102.22	Professional		$27.53	$63.97	$102.22
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $9.61 / $26.20 / $46.28	Professional	26	$9.61	$26.20	$46.28
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $23.83 / $48.59 / $67.86	Professional	TC	$23.83	$48.59	$67.86
Health New England Facility/Professional Facility Modifier Low / Median / High Price $44.24 / $44.24 / $44.24	Facility		$44.24	$44.24	$44.24
Health New England Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $93.69 / $301.89	Professional		$22.12	$93.69	$301.89
United Facility/Professional Professional Modifier Low / Median / High Price $25.58 / $71.00 / $149.21	Professional		$25.58	$71.00	$149.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.49 / $19.44 / $40.22	Professional	26	$7.49	$19.44	$40.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.00 / $56.00 / $140.49	Professional	TC	$26.00	$56.00	$140.49