Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.06 / $133.38 / $205.15	Professional		$93.06	$133.38	$205.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.72 / $47.18 / $76.97	Professional	26	$33.72	$47.18	$76.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.64 / $88.93 / $128.44	Professional	TC	$56.64	$88.93	$128.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.61 / $202.48 / $262.81	Professional		$138.61	$202.48	$262.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.26 / $74.70 / $104.39	Professional	26	$47.26	$74.70	$104.39
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.34 / $128.63 / $163.62	Professional	TC	$91.34	$128.63	$163.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.28 / $116.45 / $278.38	Professional		$75.28	$116.45	$278.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.29 / $43.02 / $100.41	Professional	26	$29.29	$43.02	$100.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.12 / $72.40 / $177.36	Professional	TC	$48.12	$72.40	$177.36
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $85.68 / $205.09 / $242.74	Professional		$85.68	$205.09	$242.74
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $30.05 / $59.67 / $85.26	Professional	26	$30.05	$59.67	$85.26
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $55.63 / $113.25 / $146.02	Professional	TC	$55.63	$113.25	$146.02
United Facility/Professional Professional Modifier Low / Median / High Price $93.29 / $203.33 / $407.02	Professional		$93.29	$203.33	$407.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.78 / $67.90 / $124.13	Professional	26	$35.78	$67.90	$124.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.59 / $132.72 / $265.68	Professional	TC	$50.59	$132.72	$265.68