Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $34.84 / $78.42	Professional		$23.81	$34.84	$78.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.04 / $24.96 / $68.53	Professional	26	$17.04	$24.96	$68.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.76 / $12.20 / $28.22	Professional	TC	$6.76	$12.20	$28.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $67.81 / $91.67	Professional		$53.77	$67.81	$91.67
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.20 / $44.39 / $55.40	Professional	26	$33.20	$44.39	$55.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.23 / $26.08 / $43.18	Professional	TC	$15.23	$26.08	$43.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.79 / $25.79 / $25.79	Facility		$25.79	$25.79	$25.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $47.84 / $109.90	Professional		$22.48	$47.84	$109.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.68 / $33.40 / $58.99	Professional	26	$15.68	$33.40	$58.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $5.00 / $14.47 / $47.03	Professional	TC	$5.00	$14.47	$47.03
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $40.34 / $85.03 / $115.63	Professional		$40.34	$85.03	$115.63
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $25.87 / $52.20 / $81.54	Professional	26	$25.87	$52.20	$81.54
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $38.40 / $51.14	Professional	TC	$18.82	$38.40	$51.14
Health New England Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $124.34 / $358.54	Professional		$25.77	$124.34	$358.54
United Facility/Professional Professional Modifier Low / Median / High Price $34.99 / $87.00 / $163.51	Professional		$34.99	$87.00	$163.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.27 / $52.46 / $88.08	Professional	26	$20.27	$52.46	$88.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.85 / $37.09 / $76.02	Professional	TC	$12.85	$37.09	$76.02