Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $234.42 / $288.40	Facility	26	$102.33	$234.42	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $371.54 / $794.33	Professional		$204.17	$371.54	$794.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $63.10 / $186.21	Professional	26	$47.86	$63.10	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $281.84 / $707.95	Professional	TC	$147.91	$281.84	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $501.19 / $630.96	Professional		$229.09	$501.19	$630.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $91.20 / $144.54	Professional	26	$61.66	$91.20	$144.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $389.05 / $524.81	Professional	TC	$165.96	$389.05	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $512.86 / $891.25	Professional		$263.03	$512.86	$891.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $89.13 / $134.90	Professional	26	$67.61	$89.13	$134.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $380.19 / $660.69	Professional	TC	$190.55	$380.19	$660.69
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $602.56 / $776.25	Professional		$302.00	$602.56	$776.25
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $75.86 / $81.28	Professional	26	$61.66	$75.86	$81.28
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $234.42 / $575.44	Professional	TC	$194.98	$234.42	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $426.58 / $691.83	Professional		$223.87	$426.58	$691.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $89.13 / $165.96	Professional	26	$47.86	$89.13	$165.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $295.12 / $588.84	Professional	TC	$165.96	$295.12	$588.84