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 $346.74 / $501.19 / $1,778.28	Professional		$346.74	$501.19	$1,778.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $131.83 / $288.40	Professional	26	$85.11	$131.83	$288.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $338.84 / $776.25	Professional	TC	$257.04	$338.84	$776.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $891.25 / $1,318.26	Professional		$354.81	$891.25	$1,318.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $173.78 / $229.09	Professional	26	$83.18	$173.78	$229.09
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $524.81 / $1,380.38 / $1,995.26	Professional	50	$524.81	$1,380.38	$1,995.26
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $691.83 / $1,096.48	Professional	TC	$269.15	$691.83	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $741.31 / $1,202.26	Professional		$407.38	$741.31	$1,202.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $125.89 / $251.19	Professional	26	$85.11	$125.89	$251.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $575.44 / $912.01	Professional	TC	$302.00	$575.44	$912.01
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $812.83	Professional		$478.63	$676.08	$812.83
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $112.20 / $134.90	Professional	26	$93.33	$112.20	$134.90
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $398.11 / $616.60	Professional	TC	$309.03	$398.11	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $512.86 / $1,071.52	Professional		$316.23	$512.86	$1,071.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $102.33 / $234.42	Professional	26	$70.79	$102.33	$234.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $398.11 / $851.14	Professional	TC	$245.47	$398.11	$851.14