Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.25 / $104.91 / $241.16	Facility	26	$49.25	$104.91	$241.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.48 / $189.42 / $435.31	Professional		$99.48	$189.42	$435.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.79 / $52.86 / $186.78	Professional	26	$45.79	$52.86	$186.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.23 / $94.50 / $237.77	Professional	TC	$50.23	$94.50	$237.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.70 / $193.30 / $232.46	Professional		$127.70	$193.30	$232.46
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.19 / $60.47 / $76.86	Professional	26	$36.19	$60.47	$76.86
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $181.78 / $289.95 / $348.69	Professional	50	$181.78	$289.95	$348.69
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.48 / $129.54 / $159.21	Professional	TC	$85.48	$129.54	$159.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.10 / $182.84 / $315.99	Professional		$140.10	$182.84	$315.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.68 / $58.52 / $115.86	Professional	26	$47.68	$58.52	$115.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $86.56 / $123.84 / $226.45	Professional	TC	$86.56	$123.84	$226.45
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $90.95 / $170.89 / $295.17	Professional		$90.95	$170.89	$295.17
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $47.65 / $56.16 / $90.75	Professional	26	$47.65	$56.16	$90.75
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $110.48 / $150.94 / $231.00	Professional	TC	$110.48	$150.94	$231.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.35 / $155.63 / $307.58	Professional		$99.35	$155.63	$307.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.38 / $53.98 / $95.56	Professional	26	$37.38	$53.98	$95.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.71 / $102.91 / $208.20	Professional	TC	$61.71	$102.91	$208.20