Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.50 / $197.49 / $319.02	Facility	26	$66.50	$197.49	$319.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.59 / $128.80 / $501.00	Professional		$95.59	$128.80	$501.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.96 / $66.50 / $253.00	Professional	26	$40.96	$66.50	$253.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.60 / $62.31 / $235.00	Professional	TC	$48.60	$62.31	$235.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.92 / $157.75 / $192.36	Professional		$88.92	$157.75	$192.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.95 / $77.54 / $91.19	Professional	26	$45.95	$77.54	$91.19
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.97 / $82.98 / $98.45	Professional	TC	$42.97	$82.98	$98.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.95 / $246.67 / $327.68	Professional		$123.95	$246.67	$327.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.71 / $65.48 / $126.09	Professional	26	$55.71	$65.48	$126.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.46 / $156.83 / $220.35	Professional	TC	$58.46	$156.83	$220.35
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $104.11 / $182.73 / $253.47	Professional		$104.11	$182.73	$253.47
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $43.83 / $45.56 / $57.63	Professional	26	$43.83	$45.56	$57.63
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $51.37 / $53.19 / $62.67	Professional	TC	$51.37	$53.19	$62.67
United Facility/Professional Professional Modifier Low / Median / High Price $99.49 / $181.19 / $251.58	Professional		$99.49	$181.19	$251.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.26 / $71.93 / $116.17	Professional	26	$44.26	$71.93	$116.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.93 / $85.46 / $130.71	Professional	TC	$46.93	$85.46	$130.71