Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.85 / $204.29 / $277.41	Facility	26	$91.85	$204.29	$277.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.35 / $337.61 / $534.64	Professional		$174.35	$337.61	$534.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.83 / $91.85 / $98.34	Professional	26	$45.83	$91.85	$98.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.52 / $245.76 / $475.57	Professional	TC	$128.52	$245.76	$475.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.45 / $534.52 / $634.17	Professional		$227.45	$534.52	$634.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.62 / $92.81 / $108.11	Professional	26	$60.62	$92.81	$108.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $166.82 / $445.85 / $528.98	Professional	TC	$166.82	$445.85	$528.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.02 / $577.79 / $870.72	Professional		$304.02	$577.79	$870.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.06 / $82.51 / $139.38	Professional	26	$68.06	$82.51	$139.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $226.74 / $513.42 / $730.34	Professional	TC	$226.74	$513.42	$730.34
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $255.24 / $548.72 / $779.67	Professional		$255.24	$548.72	$779.67
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $62.18 / $63.84 / $69.84	Professional	26	$62.18	$63.84	$69.84
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $179.09 / $185.41 / $484.87	Professional	TC	$179.09	$185.41	$484.87
United Facility/Professional Professional Modifier Low / Median / High Price $234.15 / $422.57 / $722.49	Professional		$234.15	$422.57	$722.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.36 / $106.62 / $191.53	Professional	26	$46.36	$106.62	$191.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $181.64 / $298.13 / $583.27	Professional	TC	$181.64	$298.13	$583.27