Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $239.88 / $281.84	Facility	26	$102.33	$239.88	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $302.00 / $741.31	Professional		$173.78	$302.00	$741.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $72.44 / $154.88	Professional	26	$54.95	$72.44	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $213.80 / $416.87	Professional	TC	$120.23	$213.80	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $524.81 / $912.01	Professional		$186.21	$524.81	$912.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $125.89 / $177.83	Professional	26	$58.88	$125.89	$177.83
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $354.81 / $741.31	Professional	TC	$125.89	$354.81	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $446.68 / $691.83	Professional		$223.87	$446.68	$691.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $93.33 / $177.83	Professional	26	$64.57	$93.33	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $354.81 / $512.86	Professional	TC	$154.88	$354.81	$512.86
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $436.52 / $575.44	Professional		$263.03	$436.52	$575.44
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $81.28 / $104.71	Professional	26	$69.18	$81.28	$104.71
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $194.98 / $389.05	Professional	TC	$151.36	$194.98	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $302.00 / $537.03	Professional		$177.83	$302.00	$537.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $74.13 / $151.36	Professional	26	$54.95	$74.13	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $204.17 / $380.19	Professional	TC	$120.23	$204.17	$380.19