Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.06 / $236.64 / $349.12	Facility	26	$83.06	$236.64	$349.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $243.76 / $432.98	Professional		$155.75	$243.76	$432.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $83.06 / $179.04	Professional	26	$53.70	$83.06	$179.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.75 / $160.69 / $283.72	Professional	TC	$99.75	$160.69	$283.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.05 / $283.58 / $489.53	Professional		$148.05	$283.58	$489.53
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.82 / $88.38 / $114.23	Professional	26	$50.82	$88.38	$114.23
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $97.23 / $178.73 / $384.28	Professional	TC	$97.23	$178.73	$384.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.14 / $478.41 / $1,048.55	Professional		$292.14	$478.41	$1,048.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.01 / $87.99 / $172.64	Professional	26	$55.01	$87.99	$172.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $242.56 / $395.79 / $865.36	Professional	TC	$242.56	$395.79	$865.36
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $195.50 / $287.16 / $524.54	Professional		$195.50	$287.16	$524.54
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $65.91 / $84.04 / $109.47	Professional	26	$65.91	$84.04	$109.47
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $129.59 / $192.24 / $353.35	Professional	TC	$129.59	$192.24	$353.35
United Facility/Professional Professional Modifier Low / Median / High Price $300.75 / $488.28 / $957.26	Professional		$300.75	$488.28	$957.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.64 / $91.18 / $167.24	Professional	26	$58.64	$91.18	$167.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $247.27 / $399.09 / $790.02	Professional	TC	$247.27	$399.09	$790.02