Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.21 / $50.71 / $94.11	Professional		$33.21	$50.71	$94.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.81 / $29.37 / $57.55	Professional	26	$20.81	$29.37	$57.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.40 / $19.60 / $31.67	Professional	TC	$12.40	$19.60	$31.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.55 / $86.99 / $104.53	Professional		$63.55	$86.99	$104.53
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.72 / $54.85 / $63.78	Professional	26	$40.72	$54.85	$63.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.83 / $32.36 / $40.18	Professional	TC	$22.83	$32.36	$40.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $49.75 / $113.54	Professional		$25.59	$49.75	$113.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.71 / $31.32 / $76.79	Professional	26	$17.71	$31.32	$76.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $7.88 / $16.42 / $40.50	Professional	TC	$7.88	$16.42	$40.50
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $92.65 / $167.80	Professional		$40.86	$92.65	$167.80
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $31.66 / $63.00 / $88.07	Professional	26	$31.66	$63.00	$88.07
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $17.28 / $29.54 / $39.33	Professional	TC	$17.28	$29.54	$39.33
Health New England Facility/Professional Professional Modifier Low / Median / High Price $125.64 / $125.64 / $125.64	Professional		$125.64	$125.64	$125.64
United Facility/Professional Professional Modifier Low / Median / High Price $31.03 / $83.46 / $166.70	Professional		$31.03	$83.46	$166.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.98 / $60.55 / $107.09	Professional	26	$20.98	$60.55	$107.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.68 / $28.99 / $59.61	Professional	TC	$11.68	$28.99	$59.61