Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $257.04 / $302.00	Facility	26	$81.28	$257.04	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $354.81 / $1,047.13	Professional		$213.80	$354.81	$1,047.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $87.10 / $223.87	Professional	26	$52.48	$87.10	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $281.84 / $630.96	Professional	TC	$173.78	$281.84	$630.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $707.95	Professional		$323.59	$501.19	$707.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $91.20 / $151.36	Professional	26	$63.10	$91.20	$151.36
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $407.38 / $562.34	Professional	TC	$263.03	$407.38	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $512.86 / $724.44	Professional		$398.11	$512.86	$724.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $93.33 / $141.25	Professional	26	$77.62	$93.33	$141.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $398.11 / $776.25	Professional	TC	$302.00	$398.11	$776.25
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $295.12 / $416.87	Professional		$281.84	$295.12	$416.87
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $74.13 / $74.13	Professional	26	$60.26	$74.13	$74.13
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $302.00 / $338.84	Professional	TC	$275.42	$302.00	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $977.24	Professional		$323.59	$489.78	$977.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $93.33 / $186.21	Professional	26	$61.66	$93.33	$186.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $380.19 / $776.25	Professional	TC	$263.03	$380.19	$776.25