Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $208.93 / $269.15	Facility	26	$109.65	$208.93	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $602.56	Professional		$123.03	$162.18	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $51.29 / $162.18	Professional	26	$39.81	$51.29	$162.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $107.15 / $288.40	Professional	TC	$79.43	$107.15	$288.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $309.03 / $426.58	Professional		$131.83	$309.03	$426.58
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $102.33 / $144.54	Professional	26	$42.66	$102.33	$144.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $199.53 / $275.42	Professional	TC	$91.20	$199.53	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $263.03 / $467.74	Professional		$147.91	$263.03	$467.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $67.61 / $141.25	Professional	26	$48.98	$67.61	$141.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $199.53 / $323.59	Professional	TC	$102.33	$199.53	$323.59
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $549.54	Professional		$162.18	$213.80	$549.54
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $69.18 / $97.72	Professional	26	$50.12	$69.18	$97.72
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $158.49 / $302.00	Professional	TC	$114.82	$158.49	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $416.87	Professional		$134.90	$204.17	$416.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $58.88 / $128.82	Professional	26	$42.66	$58.88	$128.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $141.25 / $295.12	Professional	TC	$89.13	$141.25	$295.12