Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.92 / $87.59 / $264.33	Professional		$64.92	$87.59	$264.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.57 / $20.79 / $44.56	Professional	26	$14.57	$20.79	$44.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.35 / $66.79 / $219.80	Professional	TC	$50.35	$66.79	$219.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.32 / $195.05 / $231.41	Professional		$94.32	$195.05	$231.41
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.68 / $39.82 / $55.58	Professional	26	$16.68	$39.82	$55.58
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $79.61 / $150.18 / $176.67	Professional	TC	$79.61	$150.18	$176.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $140.63 / $269.08	Professional		$72.50	$140.63	$269.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.62 / $25.72 / $41.90	Professional	26	$21.62	$25.72	$41.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.10 / $116.94 / $227.18	Professional	TC	$53.10	$116.94	$227.18
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $76.08 / $89.11 / $128.83	Professional		$76.08	$89.11	$128.83
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $17.50 / $21.34 / $38.90	Professional	26	$17.50	$21.34	$38.90
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $58.58 / $103.83 / $184.21	Professional	TC	$58.58	$103.83	$184.21
United Facility/Professional Professional Modifier Low / Median / High Price $84.79 / $154.60 / $243.02	Professional		$84.79	$154.60	$243.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.57 / $26.68 / $40.97	Professional	26	$16.57	$26.68	$40.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.00 / $127.31 / $202.84	Professional	TC	$65.00	$127.31	$202.84