Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $28.84 / $63.10	Professional		$12.88	$28.84	$63.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $26.30 / $87.10	Professional	26	$8.91	$26.30	$87.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.01 / $7.08 / $21.38	Professional	TC	$5.01	$7.08	$21.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $56.23	Professional		$23.99	$32.36	$56.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $19.05 / $33.11	Professional	26	$14.13	$19.05	$33.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.77 / $11.75 / $21.88	Professional	TC	$9.77	$11.75	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $20.42 / $40.74	Professional		$10.23	$20.42	$40.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $13.80 / $23.99	Professional	26	$6.46	$13.80	$23.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $5.75 / $17.78	Professional	TC	$3.02	$5.75	$17.78
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $46.77	Professional		$20.89	$30.20	$46.77
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $20.89 / $32.36	Professional	26	$12.02	$20.89	$32.36
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $5.75 / $14.79 / $23.99	Professional	TC	$5.75	$14.79	$23.99
Health New England Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $39.81	Professional		$20.89	$25.12	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $31.62 / $66.07	Professional		$13.18	$31.62	$66.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $19.50 / $38.02	Professional	26	$7.59	$19.50	$38.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $5.50 / $13.49 / $27.54	Professional	TC	$5.50	$13.49	$27.54