Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $37.15 / $120.45	Professional		$29.57	$37.15	$120.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.84 / $15.63 / $19.41	Professional	26	$13.84	$15.63	$19.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.74 / $19.96 / $35.28	Professional	TC	$15.74	$19.96	$35.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.34 / $41.26 / $73.63	Professional		$26.34	$41.26	$73.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.25 / $18.97 / $25.05	Professional	26	$12.25	$18.97	$25.05
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.23 / $22.29 / $48.58	Professional	TC	$14.23	$22.29	$48.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $62.18 / $98.11	Professional		$34.40	$62.18	$98.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.99 / $23.27 / $43.98	Professional	26	$15.99	$23.27	$43.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.42 / $38.90 / $55.45	Professional	TC	$18.42	$38.90	$55.45
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $38.83 / $38.83 / $65.43	Professional		$38.83	$38.83	$65.43
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $17.91 / $17.91 / $24.61	Professional	26	$17.91	$17.91	$24.61
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $20.91 / $20.91 / $40.82	Professional	TC	$20.91	$20.91	$40.82
Health New England Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $52.40 / $87.86	Professional		$41.98	$52.40	$87.86
United Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $37.24 / $68.55	Professional		$27.43	$37.24	$68.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.04 / $16.68 / $30.82	Professional	26	$12.04	$16.68	$30.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.82 / $20.26 / $36.22	Professional	TC	$13.82	$20.26	$36.22