Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.95 / $297.82 / $387.27	Facility	26	$166.95	$297.82	$387.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.14 / $600.00 / $1,726.79	Professional		$429.14	$600.00	$1,726.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.15 / $145.65 / $389.19	Professional	26	$111.15	$145.65	$389.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $433.05 / $1,103.90	Professional	TC	$335.00	$433.05	$1,103.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.52 / $1,053.44 / $1,350.71	Professional		$366.52	$1,053.44	$1,350.71
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.17 / $201.32 / $248.16	Professional	26	$85.17	$201.32	$248.16
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $549.78 / $1,600.39 / $2,026.06	Professional	50	$549.78	$1,600.39	$2,026.06
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $280.23 / $815.73 / $1,122.52	Professional	TC	$280.23	$815.73	$1,122.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.54 / $737.66 / $1,253.84	Professional		$492.54	$737.66	$1,253.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.50 / $119.09 / $224.40	Professional	26	$96.50	$119.09	$224.40
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $580.67 / $580.67 / $580.67	Professional	50	$580.67	$580.67	$580.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $382.50 / $611.30 / $1,014.30	Professional	TC	$382.50	$611.30	$1,014.30
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $400.29 / $657.52 / $817.71	Professional		$400.29	$657.52	$817.71
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $92.59 / $96.65 / $176.59	Professional	26	$92.59	$96.65	$176.59
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $293.29 / $365.14 / $617.45	Professional	TC	$293.29	$365.14	$617.45
United Facility/Professional Professional Modifier Low / Median / High Price $383.23 / $596.05 / $1,295.61	Professional		$383.23	$596.05	$1,295.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.93 / $125.91 / $302.20	Professional	26	$79.93	$125.91	$302.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $284.39 / $453.66 / $1,000.16	Professional	TC	$284.39	$453.66	$1,000.16