Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $51.51 / $77.00	Professional		$41.00	$51.51	$77.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.29 / $20.77 / $25.76	Professional	26	$18.29	$20.77	$25.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.68 / $29.79 / $50.37	Professional	TC	$23.68	$29.79	$50.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $58.21 / $104.82	Professional		$37.15	$58.21	$104.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.88 / $24.59 / $33.24	Professional	26	$15.88	$24.59	$33.24
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.47 / $33.61 / $71.58	Professional	TC	$21.47	$33.61	$71.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $79.78 / $138.09	Professional		$48.24	$79.78	$138.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.75 / $28.68 / $57.85	Professional	26	$20.75	$28.68	$57.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.48 / $51.10 / $79.20	Professional	TC	$27.48	$51.10	$79.20
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $54.35 / $54.35 / $83.95	Professional		$54.35	$54.35	$83.95
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $23.21 / $23.21 / $30.33	Professional	26	$23.21	$23.21	$30.33
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $31.15 / $31.15 / $53.61	Professional	TC	$31.15	$31.15	$53.61
Health New England Facility/Professional Professional Modifier Low / Median / High Price $53.80 / $53.80 / $53.80	Professional		$53.80	$53.80	$53.80
United Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $51.13 / $99.27	Professional		$38.40	$51.13	$99.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.10 / $22.12 / $42.49	Professional	26	$16.10	$22.12	$42.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.40 / $29.44 / $55.40	Professional	TC	$21.40	$29.44	$55.40