Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.17 / $131.08 / $267.56	Professional		$71.17	$131.08	$267.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.33 / $37.54 / $86.67	Professional	26	$24.33	$37.54	$86.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.84 / $93.53 / $203.38	Professional	TC	$46.84	$93.53	$203.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.01 / $252.23 / $355.17	Professional		$154.01	$252.23	$355.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.86 / $67.59 / $106.31	Professional	26	$45.86	$67.59	$106.31
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $101.23 / $185.23 / $256.81	Professional	TC	$101.23	$185.23	$256.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.91 / $155.26 / $300.55	Professional		$71.91	$155.26	$300.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.85 / $45.21 / $92.00	Professional	26	$22.85	$45.21	$92.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.93 / $113.55 / $217.05	Professional	TC	$40.93	$113.55	$217.05
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $133.27 / $281.70 / $332.32	Professional		$133.27	$281.70	$332.32
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $35.64 / $74.37 / $109.05	Professional	26	$35.64	$74.37	$109.05
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $97.63 / $171.68 / $213.31	Professional	TC	$97.63	$171.68	$213.31
United Facility/Professional Professional Modifier Low / Median / High Price $85.65 / $218.62 / $429.79	Professional		$85.65	$218.62	$429.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.86 / $65.70 / $118.43	Professional	26	$41.86	$65.70	$118.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.78 / $148.52 / $311.36	Professional	TC	$58.78	$148.52	$311.36