Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $140.63 / $226.03	Professional		$66.73	$140.63	$226.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.26 / $35.76 / $51.63	Professional	26	$21.26	$35.76	$51.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.47 / $95.06 / $174.65	Professional	TC	$45.47	$95.06	$174.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.10 / $190.05 / $424.02	Professional		$130.10	$190.05	$424.02
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.00 / $54.20 / $103.07	Professional	26	$36.00	$54.20	$103.07
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $94.10 / $137.44 / $327.31	Professional	TC	$94.10	$137.44	$327.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.03 / $148.19 / $254.29	Professional		$60.03	$148.19	$254.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.87 / $39.28 / $81.52	Professional	26	$18.87	$39.28	$81.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.42 / $114.08 / $185.47	Professional	TC	$43.42	$114.08	$185.47
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $97.38 / $210.29 / $364.44	Professional		$97.38	$210.29	$364.44
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $27.75 / $57.98 / $90.01	Professional	26	$27.75	$57.98	$90.01
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $69.63 / $134.46 / $198.98	Professional	TC	$69.63	$134.46	$198.98
United Facility/Professional Professional Modifier Low / Median / High Price $115.13 / $205.90 / $343.45	Professional		$115.13	$205.90	$343.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.72 / $56.81 / $94.76	Professional	26	$35.72	$56.81	$94.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.62 / $127.50 / $248.69	Professional	TC	$78.62	$127.50	$248.69