Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $151.58 / $151.58 / $157.79	Facility	26	$151.58	$151.58	$157.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.01 / $478.67 / $951.50	Professional		$319.01	$478.67	$951.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.67 / $151.58 / $271.38	Professional	26	$87.67	$151.58	$271.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $231.34 / $327.08 / $480.53	Professional	TC	$231.34	$327.08	$480.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.85 / $615.01 / $729.69	Professional		$270.85	$615.01	$729.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.84 / $181.43 / $215.26	Professional	26	$82.84	$181.43	$215.26
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $198.35 / $433.58 / $516.48	Professional	TC	$198.35	$433.58	$516.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.16 / $557.38 / $821.93	Professional		$357.16	$557.38	$821.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.66 / $133.31 / $265.64	Professional	26	$101.66	$133.31	$265.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $267.20 / $425.13 / $622.90	Professional	TC	$267.20	$425.13	$622.90
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $244.38 / $434.81 / $464.33	Professional		$244.38	$434.81	$464.33
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $117.46 / $136.75 / $136.75	Professional	26	$117.46	$136.75	$136.75
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $317.35 / $327.58 / $327.58	Professional	TC	$317.35	$327.58	$327.58
United Facility/Professional Professional Modifier Low / Median / High Price $297.02 / $489.30 / $992.69	Professional		$297.02	$489.30	$992.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.70 / $138.88 / $275.16	Professional	26	$87.70	$138.88	$275.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $221.31 / $378.83 / $717.53	Professional	TC	$221.31	$378.83	$717.53