Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $117.49 / $141.25	Facility	26	$38.02	$117.49	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $77.62 / $218.78	Professional		$54.95	$77.62	$218.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $28.84 / $77.62	Professional	26	$21.88	$28.84	$77.62
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $66.07 / $223.87 / $489.78	Professional	50	$66.07	$223.87	$489.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $40.74 / $89.13	Professional	TC	$28.84	$40.74	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $151.36	Professional		$79.43	$104.71	$151.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $41.69 / $57.54	Professional	26	$32.36	$41.69	$57.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $123.03 / $158.49 / $229.09	Professional	50	$123.03	$158.49	$229.09
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $63.10 / $93.33	Professional	TC	$45.71	$63.10	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $190.55	Professional		$79.43	$109.65	$190.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $41.69 / $81.28	Professional	26	$31.62	$41.69	$81.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $69.18 / $112.20	Professional	TC	$41.69	$69.18	$112.20
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $120.23	Professional		$79.43	$97.72	$120.23
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $39.81 / $48.98	Professional	26	$28.18	$39.81	$48.98
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $58.88 / $89.13	Professional	TC	$47.86	$58.88	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $81.28 / $141.25	Professional		$53.70	$81.28	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $33.88 / $58.88	Professional	26	$23.44	$33.88	$58.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $46.77 / $81.28	Professional	TC	$30.90	$46.77	$81.28