Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.44 / $111.64 / $257.37	Facility	26	$63.44	$111.64	$257.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.80 / $149.16 / $284.66	Professional		$111.80	$149.16	$284.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.09 / $46.15 / $112.97	Professional	26	$40.09	$46.15	$112.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.30 / $105.68 / $182.21	Professional	TC	$71.30	$105.68	$182.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.37 / $161.24 / $293.68	Professional		$98.37	$161.24	$293.68
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.92 / $56.09 / $84.67	Professional	26	$34.92	$56.09	$84.67
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $62.99 / $104.89 / $208.52	Professional	TC	$62.99	$104.89	$208.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.19 / $202.81 / $398.96	Professional		$136.19	$202.81	$398.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.71 / $72.19 / $131.77	Professional	26	$54.71	$72.19	$131.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.84 / $133.60 / $260.23	Professional	TC	$76.84	$133.60	$260.23
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $137.28 / $182.93 / $237.59	Professional		$137.28	$182.93	$237.59
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $49.86 / $58.36 / $89.88	Professional	26	$49.86	$58.36	$89.88
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $87.42 / $124.97 / $147.72	Professional	TC	$87.42	$124.97	$147.72
United Facility/Professional Professional Modifier Low / Median / High Price $129.10 / $208.92 / $378.81	Professional		$129.10	$208.92	$378.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.47 / $68.14 / $133.22	Professional	26	$44.47	$68.14	$133.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.68 / $130.96 / $250.04	Professional	TC	$75.68	$130.96	$250.04