Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $186.21 / $338.84 / $398.11	Facility	26	$186.21	$338.84	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $457.09 / $1,445.44	Professional		$281.84	$457.09	$1,445.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $141.25 / $416.87	Professional	26	$85.11	$141.25	$416.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $338.84 / $660.69	Professional	TC	$194.98	$338.84	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $831.76 / $1,318.26	Professional		$302.00	$831.76	$1,318.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $177.83 / $239.88	Professional	26	$83.18	$177.83	$239.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $575.44 / $1,096.48	Professional	TC	$208.93	$575.44	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $758.58 / $1,096.48	Professional		$338.84	$758.58	$1,096.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $128.82 / $251.19	Professional	26	$87.10	$128.82	$251.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $602.56 / $831.76	Professional	TC	$239.88	$602.56	$831.76
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $776.25 / $912.01	Professional		$389.05	$776.25	$912.01
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $114.82 / $141.25	Professional	26	$97.72	$114.82	$141.25
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $302.00 / $660.69	Professional	TC	$229.09	$302.00	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $478.63 / $1,023.29	Professional		$275.42	$478.63	$1,023.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $104.71 / $251.19	Professional	26	$77.62	$104.71	$251.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $331.13 / $794.33	Professional	TC	$194.98	$331.13	$794.33