Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.95 / $265.32 / $343.53	Facility	26	$166.95	$265.32	$343.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $494.18 / $1,307.00	Professional		$370.50	$494.18	$1,307.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.10 / $145.65 / $275.80	Professional	26	$110.10	$145.65	$275.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.35 / $348.53 / $655.90	Professional	TC	$259.35	$348.53	$655.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.38 / $557.13 / $650.33	Professional		$243.38	$557.13	$650.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $76.70 / $176.54 / $217.94	Professional	26	$76.70	$176.54	$217.94
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $164.04 / $377.92 / $444.67	Professional	TC	$164.04	$377.92	$444.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.45 / $388.79 / $728.43	Professional		$288.45	$388.79	$728.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.78 / $108.75 / $200.27	Professional	26	$85.78	$108.75	$200.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $198.30 / $273.58 / $494.19	Professional	TC	$198.30	$273.58	$494.19
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $249.98 / $317.25 / $526.67	Professional		$249.98	$317.25	$526.67
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $71.11 / $85.54 / $170.48	Professional	26	$71.11	$85.54	$170.48
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $167.37 / $173.27 / $296.85	Professional	TC	$167.37	$173.27	$296.85
United Facility/Professional Professional Modifier Low / Median / High Price $251.53 / $470.19 / $1,174.59	Professional		$251.53	$470.19	$1,174.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.09 / $121.01 / $269.13	Professional	26	$72.09	$121.01	$269.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.24 / $312.45 / $811.98	Professional	TC	$173.24	$312.45	$811.98