Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.84 / $184.81 / $237.56	Facility	26	$59.84	$184.81	$237.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.83 / $262.86 / $652.41	Professional		$193.83	$262.86	$652.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.76 / $59.84 / $143.63	Professional	26	$42.76	$59.84	$143.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $149.26 / $203.02 / $366.33	Professional	TC	$149.26	$203.02	$366.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.85 / $567.27 / $673.05	Professional		$224.85	$567.27	$673.05
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.11 / $134.58 / $159.66	Professional	26	$53.11	$134.58	$159.66
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $169.42 / $432.69 / $513.37	Professional	TC	$169.42	$432.69	$513.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.76 / $361.83 / $701.19	Professional		$266.76	$361.83	$701.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.40 / $75.39 / $138.82	Professional	26	$59.40	$75.39	$138.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.32 / $281.91 / $511.36	Professional	TC	$204.32	$281.91	$511.36
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $230.30 / $295.00 / $412.83	Professional		$230.30	$295.00	$412.83
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $49.32 / $58.94 / $107.89	Professional	26	$49.32	$58.94	$107.89
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $171.92 / $177.99 / $304.94	Professional	TC	$171.92	$177.99	$304.94
United Facility/Professional Professional Modifier Low / Median / High Price $207.46 / $351.61 / $746.70	Professional		$207.46	$351.61	$746.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.47 / $79.83 / $177.43	Professional	26	$48.47	$79.83	$177.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $168.86 / $270.12 / $569.27	Professional	TC	$168.86	$270.12	$569.27