Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.95 / $296.95 / $386.10	Facility	26	$166.95	$296.95	$386.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $600.00 / $2,118.42	Professional		$425.00	$600.00	$2,118.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.49 / $166.95 / $519.71	Professional	26	$118.49	$166.95	$519.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $274.14 / $366.84 / $499.19	Professional	TC	$274.14	$366.84	$499.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.13 / $979.01 / $1,366.50	Professional		$300.13	$979.01	$1,366.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.84 / $204.16 / $251.46	Professional	26	$84.84	$204.16	$251.46
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $213.74 / $763.42 / $1,124.27	Professional	TC	$213.74	$763.42	$1,124.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.38 / $791.53 / $1,133.03	Professional		$381.38	$791.53	$1,133.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.13 / $123.27 / $234.67	Professional	26	$99.13	$123.27	$234.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $275.54 / $636.97 / $906.08	Professional	TC	$275.54	$636.97	$906.08
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $326.73 / $756.39 / $910.70	Professional		$326.73	$756.39	$910.70
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $93.44 / $98.18 / $176.44	Professional	26	$93.44	$98.18	$176.44
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $222.16 / $276.58 / $562.07	Professional	TC	$222.16	$276.58	$562.07
United Facility/Professional Professional Modifier Low / Median / High Price $319.95 / $579.51 / $1,013.43	Professional		$319.95	$579.51	$1,013.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.50 / $135.85 / $288.95	Professional	26	$80.50	$135.85	$288.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $228.35 / $414.11 / $1,070.24	Professional	TC	$228.35	$414.11	$1,070.24