Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.89 / $79.09 / $93.07	Facility	26	$21.89	$79.09	$93.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $89.48 / $218.36	Professional		$64.26	$89.48	$218.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.33 / $21.89 / $66.00	Professional	26	$15.33	$21.89	$66.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.12 / $67.59 / $261.10	Professional	TC	$49.12	$67.59	$261.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.17 / $123.33 / $159.04	Professional		$92.17	$123.33	$159.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.79 / $28.62 / $35.11	Professional	26	$17.79	$28.62	$35.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.03 / $93.09 / $127.78	Professional	TC	$72.03	$93.09	$127.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.92 / $128.84 / $220.84	Professional		$96.92	$128.84	$220.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.62 / $27.76 / $46.72	Professional	26	$22.62	$27.76	$46.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.75 / $96.50 / $178.28	Professional	TC	$73.75	$96.50	$178.28
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $83.71 / $104.42 / $137.78	Professional		$83.71	$104.42	$137.78
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $18.07 / $22.85 / $41.69	Professional	26	$18.07	$22.85	$41.69
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $57.55 / $89.57 / $158.40	Professional	TC	$57.55	$89.57	$158.40
United Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $133.34 / $207.58	Professional		$82.31	$133.34	$207.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.66 / $29.73 / $44.80	Professional	26	$18.66	$29.73	$44.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.58 / $106.71 / $189.32	Professional	TC	$63.58	$106.71	$189.32