Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.60 / $227.95 / $272.91	Facility	26	$92.60	$227.95	$272.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.58 / $330.93 / $634.57	Professional		$211.58	$330.93	$634.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $90.99 / $179.89	Professional	26	$55.00	$90.99	$179.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $147.58 / $239.94 / $541.40	Professional	TC	$147.58	$239.94	$541.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.32 / $640.00 / $941.72	Professional		$192.32	$640.00	$941.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.22 / $150.16 / $178.16	Professional	26	$60.22	$150.16	$178.16
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $132.09 / $456.96 / $763.56	Professional	TC	$132.09	$456.96	$763.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.01 / $464.56 / $755.92	Professional		$269.01	$464.56	$755.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.88 / $90.44 / $158.97	Professional	26	$72.88	$90.44	$158.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $189.51 / $353.89 / $527.05	Professional	TC	$189.51	$353.89	$527.05
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $218.13 / $435.57 / $572.70	Professional		$218.13	$435.57	$572.70
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $65.37 / $72.50 / $123.88	Professional	26	$65.37	$72.50	$123.88
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $145.32 / $180.91 / $361.13	Professional	TC	$145.32	$180.91	$361.13
United Facility/Professional Professional Modifier Low / Median / High Price $196.85 / $345.37 / $581.66	Professional		$196.85	$345.37	$581.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.70 / $89.59 / $183.23	Professional	26	$57.70	$89.59	$183.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $126.28 / $245.24 / $429.12	Professional	TC	$126.28	$245.24	$429.12