Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $371.54 / $436.52	Facility	26	$114.82	$371.54	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $588.84	Professional		$95.50	$154.88	$588.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $58.88 / $234.42	Professional	TC	$33.11	$58.88	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $257.04 / $338.84	Professional		$123.03	$257.04	$338.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $93.33 / $120.23	Professional	TC	$43.65	$93.33	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $363.08	Professional		$181.97	$251.19	$363.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $114.82 / $162.18	Professional	TC	$64.57	$114.82	$162.18
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $199.53 / $245.47	Professional		$154.88	$199.53	$245.47
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $72.44 / $77.62	Professional	TC	$60.26	$72.44	$77.62
Health New England Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $134.90	Professional		$128.82	$128.82	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $346.74	Professional		$138.04	$213.80	$346.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $81.28 / $154.88	Professional	TC	$47.86	$81.28	$154.88