Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $16.02 / $48.45	Professional		$10.91	$16.02	$48.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.94 / $12.00 / $28.25	Professional	26	$6.94	$12.00	$28.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.97 / $6.56 / $14.20	Professional	TC	$3.97	$6.56	$14.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.49 / $29.02 / $35.35	Professional		$23.49	$29.02	$35.35
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.21 / $17.78 / $22.45	Professional	26	$13.21	$17.78	$22.45
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.41 / $11.48 / $15.01	Professional	TC	$9.41	$11.48	$15.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.77 / $11.77 / $11.77	Facility		$11.77	$11.77	$11.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $20.47 / $43.48	Professional		$10.16	$20.47	$43.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.37 / $14.47 / $25.12	Professional	26	$6.37	$14.47	$25.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.05 / $6.39 / $18.36	Professional	TC	$3.05	$6.39	$18.36
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $15.02 / $30.43 / $45.74	Professional		$15.02	$30.43	$45.74
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $10.50 / $20.88 / $32.65	Professional	26	$10.50	$20.88	$32.65
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $6.30 / $14.44 / $21.02	Professional	TC	$6.30	$14.44	$21.02
Health New England Facility/Professional Professional Modifier Low / Median / High Price $20.75 / $49.73 / $54.10	Professional		$20.75	$49.73	$54.10
United Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $34.29 / $62.60	Professional		$13.52	$34.29	$62.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.11 / $19.82 / $35.89	Professional	26	$7.11	$19.82	$35.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $5.52 / $14.43 / $26.71	Professional	TC	$5.52	$14.43	$26.71