Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $135.80 / $400.23 / $646.52	Facility	26	$135.80	$400.23	$646.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.31 / $449.28 / $642.86	Professional		$255.31	$449.28	$642.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.57 / $135.80 / $333.80	Professional	26	$89.57	$135.80	$333.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $180.46 / $313.49 / $463.70	Professional	TC	$180.46	$313.49	$463.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.01 / $517.14 / $602.40	Professional		$317.01	$517.14	$602.40
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $94.04 / $160.72 / $189.04	Professional	26	$94.04	$160.72	$189.04
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $224.89 / $354.85 / $413.36	Professional	TC	$224.89	$354.85	$413.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.45 / $463.04 / $834.71	Professional		$401.45	$463.04	$834.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.36 / $136.63 / $259.50	Professional	26	$120.36	$136.63	$259.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $281.08 / $326.51 / $597.79	Professional	TC	$281.08	$326.51	$597.79
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $300.64 / $414.18 / $434.76	Professional		$300.64	$414.18	$434.76
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $89.15 / $92.68 / $118.24	Professional	26	$89.15	$92.68	$118.24
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $211.49 / $219.87 / $291.10	Professional	TC	$211.49	$219.87	$291.10
United Facility/Professional Professional Modifier Low / Median / High Price $338.39 / $480.49 / $803.82	Professional		$338.39	$480.49	$803.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.92 / $146.75 / $235.42	Professional	26	$100.92	$146.75	$235.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $192.46 / $340.30 / $574.67	Professional	TC	$192.46	$340.30	$574.67