Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.63 / $202.71 / $464.92	Facility	26	$114.63	$202.71	$464.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.32 / $160.87 / $452.85	Professional		$135.32	$160.87	$452.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.61 / $83.62 / $124.21	Professional	26	$71.61	$83.62	$124.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.39 / $79.30 / $138.05	Professional	TC	$51.39	$79.30	$138.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.44 / $209.29 / $347.47	Professional		$142.44	$209.29	$347.47
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.12 / $110.49 / $195.76	Professional	26	$71.12	$110.49	$195.76
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.34 / $107.12 / $156.47	Professional	TC	$64.34	$107.12	$156.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.29 / $229.99 / $507.03	Professional		$140.29	$229.99	$507.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.64 / $127.53 / $238.06	Professional	26	$99.64	$127.53	$238.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.86 / $109.77 / $266.45	Professional	TC	$37.86	$109.77	$266.45
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $212.54 / $312.20	Professional		$161.19	$212.54	$312.20
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $90.32 / $105.71 / $162.47	Professional	26	$90.32	$105.71	$162.47
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $67.06 / $106.84 / $149.72	Professional	TC	$67.06	$106.84	$149.72
United Facility/Professional Professional Modifier Low / Median / High Price $139.69 / $234.81 / $510.06	Professional		$139.69	$234.81	$510.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.17 / $153.12 / $253.67	Professional	26	$85.17	$153.12	$253.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.63 / $156.27 / $269.39	Professional	TC	$62.63	$156.27	$269.39