Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.39 / $447.11 / $736.53	Professional		$243.39	$447.11	$736.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.89 / $37.99 / $65.65	Professional	26	$26.89	$37.99	$65.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $216.49 / $409.12 / $670.88	Professional	TC	$216.49	$409.12	$670.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $492.78 / $637.50 / $895.42	Professional		$492.78	$637.50	$895.42
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.69 / $69.69 / $96.07	Professional	26	$52.69	$69.69	$96.07
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $440.09 / $565.71 / $816.52	Professional	TC	$440.09	$565.71	$816.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.15 / $440.68 / $1,012.01	Professional		$232.15	$440.68	$1,012.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.82 / $47.80 / $98.07	Professional	26	$24.82	$47.80	$98.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $207.44 / $394.68 / $919.64	Professional	TC	$207.44	$394.68	$919.64
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $303.31 / $592.80 / $789.47	Professional		$303.31	$592.80	$789.47
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $34.03 / $65.28 / $88.57	Professional	26	$34.03	$65.28	$88.57
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $269.27 / $480.48 / $705.96	Professional	TC	$269.27	$480.48	$705.96
United Facility/Professional Professional Modifier Low / Median / High Price $433.85 / $718.96 / $1,439.17	Professional		$433.85	$718.96	$1,439.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.70 / $76.34 / $137.12	Professional	26	$31.70	$76.34	$137.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $258.56 / $641.63 / $1,142.85	Professional	TC	$258.56	$641.63	$1,142.85