Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.11 / $142.76 / $325.04	Facility	26	$80.11	$142.76	$325.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.38 / $388.84 / $769.30	Professional		$296.38	$388.84	$769.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $247.50 / $331.03 / $682.22	Professional	TC	$247.50	$331.03	$682.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.69 / $513.28 / $709.31	Professional		$330.69	$513.28	$709.31
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $274.45 / $443.93 / $599.28	Professional	TC	$274.45	$443.93	$599.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.70 / $539.69 / $1,262.69	Professional		$278.70	$539.69	$1,262.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $207.29 / $457.71 / $1,100.40	Professional	TC	$207.29	$457.71	$1,100.40
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $388.49 / $588.91 / $835.97	Professional		$388.49	$588.91	$835.97
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $323.99 / $514.92 / $722.13	Professional	TC	$323.99	$514.92	$722.13
Health New England Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $105.68 / $105.68	Professional		$105.68	$105.68	$105.68
United Facility/Professional Professional Modifier Low / Median / High Price $287.70 / $616.23 / $1,250.18	Professional		$287.70	$616.23	$1,250.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $225.60 / $528.46 / $1,089.50	Professional	TC	$225.60	$528.46	$1,089.50