Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.20 / $181.97 / $218.78	Facility	26	$91.20	$181.97	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $77.62 / $208.93	Professional		$58.88	$77.62	$208.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $42.66 / $117.49	Professional	26	$33.11	$42.66	$117.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $36.31 / $69.18	Professional	TC	$19.05	$36.31	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $97.72 / $169.82	Professional		$56.23	$97.72	$169.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $64.57 / $91.20	Professional	26	$33.88	$64.57	$91.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $33.88 / $77.62	Professional	TC	$17.38	$33.88	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $245.47	Professional		$72.44	$104.71	$245.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $64.57 / $123.03	Professional	26	$42.66	$64.57	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $45.71 / $117.49	Professional	TC	$26.92	$45.71	$117.49
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $109.65 / $141.25	Professional		$97.72	$109.65	$141.25
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $66.07 / $72.44	Professional	26	$48.98	$66.07	$72.44
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $56.23 / $74.13	Professional	TC	$33.88	$56.23	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $181.97	Professional		$63.10	$93.33	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $53.70 / $95.50	Professional	26	$36.31	$53.70	$95.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $39.81 / $91.20	Professional	TC	$26.30	$39.81	$91.20