Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.88 / $319.64 / $439.94	Facility	26	$102.88	$319.64	$439.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.05 / $157.28 / $499.45	Professional		$109.05	$157.28	$499.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.15 / $54.40 / $170.99	Professional	TC	$39.15	$54.40	$170.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.91 / $260.79 / $314.52	Professional		$128.91	$260.79	$314.52
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.95 / $95.86 / $112.42	Professional	TC	$48.95	$95.86	$112.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.97 / $254.02 / $365.68	Professional		$193.97	$254.02	$365.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.29 / $132.08 / $176.19	Professional	TC	$69.29	$132.08	$176.19
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $154.18 / $208.75 / $244.79	Professional		$154.18	$208.75	$244.79
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $59.60 / $61.31 / $63.47	Professional	TC	$59.60	$61.31	$63.47
Health New England Facility/Professional Professional Modifier Low / Median / High Price $130.30 / $130.30 / $133.93	Professional		$130.30	$130.30	$133.93
United Facility/Professional Professional Modifier Low / Median / High Price $155.71 / $245.59 / $440.60	Professional		$155.71	$245.59	$440.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.31 / $86.65 / $165.84	Professional	TC	$50.31	$86.65	$165.84