Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $154.88 / $302.00 / $371.54	Facility	26	$154.88	$302.00	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $323.59	Professional		$87.10	$120.23	$323.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $72.44 / $218.78	Professional	26	$53.70	$72.44	$218.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $44.67 / $85.11	Professional	TC	$28.18	$44.67	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $147.91 / $245.47	Professional		$83.18	$147.91	$245.47
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $93.33 / $141.25	Professional	26	$57.54	$93.33	$141.25
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $45.71 / $100.00	Professional	TC	$25.70	$45.71	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $338.84	Professional		$104.71	$151.36	$338.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $100.00 / $199.53	Professional	26	$67.61	$100.00	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $58.88 / $147.91	Professional	TC	$35.48	$58.88	$147.91
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $158.49 / $208.93	Professional		$138.04	$158.49	$208.93
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $95.50 / $117.49	Professional	26	$81.28	$95.50	$117.49
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $70.79 / $93.33	Professional	TC	$45.71	$70.79	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $269.15	Professional		$95.50	$138.04	$269.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $89.13 / $158.49	Professional	26	$61.66	$89.13	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $51.29 / $114.82	Professional	TC	$33.88	$51.29	$114.82