Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $776.25	Professional		$125.89	$199.53	$776.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $114.82 / $467.74	Professional	26	$75.86	$114.82	$467.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $93.33 / $426.58	Professional	TC	$52.48	$93.33	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $660.69	Professional		$302.00	$416.87	$660.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $199.53 / $354.81	Professional	26	$147.91	$199.53	$354.81
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $204.17 / $251.19	Professional	TC	$154.88	$204.17	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $478.63	Professional		$147.91	$208.93	$478.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $120.23 / $245.47	Professional	26	$67.61	$120.23	$245.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $97.72 / $234.42	Professional	TC	$63.10	$97.72	$234.42
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $407.38 / $512.86	Professional		$239.88	$407.38	$512.86
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $165.96 / $263.03	Professional	26	$117.49	$165.96	$263.03
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $120.23 / $223.87	Professional	TC	$77.62	$120.23	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $316.23 / $707.95	Professional		$151.36	$316.23	$707.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $177.83 / $389.05	Professional	26	$83.18	$177.83	$389.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $162.18 / $346.74	Professional	TC	$66.07	$162.18	$346.74