Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.19 / $121.32 / $143.75	Facility	26	$38.19	$121.32	$143.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.72 / $105.38 / $182.67	Professional		$74.72	$105.38	$182.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.14 / $38.19 / $55.90	Professional	26	$27.14	$38.19	$55.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $175.64 / $197.14 / $406.09	Professional	50	$175.64	$197.14	$406.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.00 / $67.19 / $89.95	Professional	TC	$47.00	$67.19	$89.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $119.91 / $161.28	Professional		$77.81	$119.91	$161.28
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.59 / $48.26 / $60.33	Professional	26	$31.59	$48.26	$60.33
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $115.28 / $179.87 / $241.92	Professional	50	$115.28	$179.87	$241.92
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.48 / $72.87 / $100.94	Professional	TC	$46.48	$72.87	$100.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $133.78 / $214.87	Professional		$95.27	$133.78	$214.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.47 / $46.61 / $79.25	Professional	26	$36.47	$46.61	$79.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $55.98 / $87.03 / $144.30	Professional	TC	$55.98	$87.03	$144.30
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $85.39 / $101.16 / $141.71	Professional		$85.39	$101.16	$141.71
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $31.42 / $35.31 / $51.41	Professional	26	$31.42	$35.31	$51.41
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $48.33 / $55.29 / $81.72	Professional	TC	$48.33	$55.29	$81.72
United Facility/Professional Professional Modifier Low / Median / High Price $82.85 / $128.59 / $217.91	Professional		$82.85	$128.59	$217.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.64 / $49.74 / $85.09	Professional	26	$30.64	$49.74	$85.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.94 / $81.34 / $157.03	Professional	TC	$51.94	$81.34	$157.03