Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $139.13 / $400.83 / $647.50	Facility	26	$139.13	$400.83	$647.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.07 / $1,103.24 / $1,897.81	Professional		$613.07	$1,103.24	$1,897.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $534.46 / $964.10 / $1,675.39	Professional	TC	$534.46	$964.10	$1,675.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $858.64 / $1,614.21 / $1,915.19	Professional		$858.64	$1,614.21	$1,915.19
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $770.29 / $1,381.99 / $1,657.49	Professional	TC	$770.29	$1,381.99	$1,657.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.40 / $1,134.03 / $2,272.61	Professional		$335.40	$1,134.03	$2,272.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $206.76 / $1,001.12 / $2,038.75	Professional	TC	$206.76	$1,001.12	$2,038.75
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $323.20 / $667.87 / $1,108.08	Professional		$323.20	$667.87	$1,108.08
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $825.44 / $858.13 / $992.83	Professional	TC	$825.44	$858.13	$992.83
United Facility/Professional Professional Modifier Low / Median / High Price $330.45 / $1,285.58 / $2,258.75	Professional		$330.45	$1,285.58	$2,258.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $659.05 / $1,168.70 / $2,034.35	Professional	TC	$659.05	$1,168.70	$2,034.35