Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.20 / $151.24 / $201.62	Facility	26	$48.20	$151.24	$201.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.93 / $262.16 / $569.39	Professional		$187.93	$262.16	$569.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $154.15 / $213.96 / $460.35	Professional	TC	$154.15	$213.96	$460.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.25 / $400.78 / $475.51	Professional		$218.25	$400.78	$475.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $175.20 / $327.71 / $388.81	Professional	TC	$175.20	$327.71	$388.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.42 / $370.29 / $575.04	Professional		$298.42	$370.29	$575.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $236.30 / $309.33 / $472.66	Professional	TC	$236.30	$309.33	$472.66
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $239.34 / $265.95 / $339.78	Professional		$239.34	$265.95	$339.78
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $190.70 / $211.85 / $220.24	Professional	TC	$190.70	$211.85	$220.24
United Facility/Professional Professional Modifier Low / Median / High Price $205.00 / $343.46 / $599.05	Professional		$205.00	$343.46	$599.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.32 / $282.99 / $481.65	Professional	TC	$169.32	$282.99	$481.65