Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $186.21 / $302.00 / $354.81	Facility	26	$186.21	$302.00	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $371.54 / $1,513.56	Professional		$190.55	$371.54	$1,513.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $112.20 / $204.17	Professional	26	$64.57	$112.20	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $194.98 / $416.87	Professional	TC	$125.89	$194.98	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $467.74 / $630.96	Professional		$251.19	$467.74	$630.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $154.88 / $204.17	Professional	26	$77.62	$154.88	$204.17
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $323.59 / $436.52	Professional	TC	$169.82	$323.59	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $389.05 / $776.25	Professional		$251.19	$389.05	$776.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $112.20 / $218.78	Professional	26	$75.86	$112.20	$218.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $269.15 / $524.81	Professional	TC	$169.82	$269.15	$524.81
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $416.87	Professional		$257.04	$331.13	$416.87
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $100.00 / $120.23	Professional	26	$70.79	$100.00	$120.23
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $208.93 / $263.03	Professional	TC	$169.82	$208.93	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $380.19 / $1,174.90	Professional		$218.78	$380.19	$1,174.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $93.33 / $223.87	Professional	26	$66.07	$93.33	$223.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $263.03 / $851.14	Professional	TC	$147.91	$263.03	$851.14