Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $223.87 / $316.23	Facility	26	$74.13	$223.87	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $426.58	Professional		$77.62	$125.89	$426.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $83.18 / $169.82	Professional	26	$42.66	$83.18	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $61.66 / $234.42	Professional	TC	$34.67	$61.66	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $162.18 / $218.78	Professional		$91.20	$162.18	$218.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $77.62 / $123.03	Professional	26	$47.86	$77.62	$123.03
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $85.11 / $117.49	Professional	TC	$43.65	$85.11	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $223.87 / $323.59	Professional		$117.49	$223.87	$323.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $70.79 / $117.49	Professional	26	$56.23	$70.79	$117.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $107.15 / $218.78	Professional	TC	$57.54	$107.15	$218.78
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $251.19	Professional		$104.71	$131.83	$251.19
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $58.88 / $67.61	Professional	26	$43.65	$58.88	$67.61
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $61.66 / $74.13	Professional	TC	$53.70	$61.66	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $251.19	Professional		$95.50	$138.04	$251.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $66.07 / $112.20	Professional	26	$40.74	$66.07	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $64.57 / $131.83	Professional	TC	$45.71	$64.57	$131.83