Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.21 / $176.10 / $308.91	Professional		$126.21	$176.10	$308.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.76 / $89.18 / $176.62	Professional	26	$72.76	$89.18	$176.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.45 / $96.33 / $132.29	Professional	TC	$53.45	$96.33	$132.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.22 / $358.95 / $473.06	Professional		$271.22	$358.95	$473.06
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $132.82 / $181.81 / $236.52	Professional	26	$132.82	$181.81	$236.52
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $115.07 / $191.80 / $249.22	Professional	TC	$115.07	$191.80	$249.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.15 / $210.52 / $473.66	Professional		$129.15	$210.52	$473.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.27 / $120.94 / $244.82	Professional	26	$66.27	$120.94	$244.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $55.80 / $97.51 / $232.11	Professional	TC	$55.80	$97.51	$232.11
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $173.72 / $349.42 / $452.17	Professional		$173.72	$349.42	$452.17
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $84.64 / $167.60 / $261.58	Professional	26	$84.64	$167.60	$261.58
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $78.30 / $126.00 / $234.83	Professional	TC	$78.30	$126.00	$234.83
United Facility/Professional Professional Modifier Low / Median / High Price $155.53 / $353.18 / $694.31	Professional		$155.53	$353.18	$694.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.38 / $200.84 / $350.11	Professional	26	$89.38	$200.84	$350.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.15 / $170.94 / $344.20	Professional	TC	$66.15	$170.94	$344.20