Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.12 / $113.70 / $260.05	Facility	26	$64.12	$113.70	$260.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.43 / $354.93 / $688.07	Professional		$292.43	$354.93	$688.07
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $143.87 / $176.33 / $260.33	Professional	52	$143.87	$176.33	$260.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.25 / $311.22 / $618.57	Professional	TC	$251.25	$311.22	$618.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.22 / $457.18 / $620.72	Professional		$300.22	$457.18	$620.72
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $265.93 / $394.63 / $549.82	Professional	TC	$265.93	$394.63	$549.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.33 / $552.39 / $1,105.78	Professional		$418.33	$552.39	$1,105.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $358.87 / $481.14 / $976.76	Professional	TC	$358.87	$481.14	$976.76
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $376.47 / $526.63 / $745.92	Professional		$376.47	$526.63	$745.92
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $324.86 / $467.10 / $654.86	Professional	TC	$324.86	$467.10	$654.86
United Facility/Professional Professional Modifier Low / Median / High Price $356.57 / $552.55 / $1,134.45	Professional		$356.57	$552.55	$1,134.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $308.93 / $479.19 / $967.07	Professional	TC	$308.93	$479.19	$967.07