Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $145.08 / $252.60 / $578.28	Facility	26	$145.08	$252.60	$578.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.24 / $322.24 / $515.27	Professional		$234.24	$322.24	$515.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.56 / $103.73 / $156.97	Professional	26	$90.56	$103.73	$156.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $148.22 / $215.75 / $359.50	Professional	TC	$148.22	$215.75	$359.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.76 / $387.59 / $717.80	Professional		$232.76	$387.59	$717.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.37 / $128.18 / $187.24	Professional	26	$83.37	$128.18	$187.24
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $155.78 / $259.39 / $532.66	Professional	TC	$155.78	$259.39	$532.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.68 / $449.33 / $845.67	Professional		$218.68	$449.33	$845.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.09 / $163.59 / $296.80	Professional	26	$125.09	$163.59	$296.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.42 / $277.45 / $574.90	Professional	TC	$87.42	$277.45	$574.90
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $339.17 / $428.49 / $585.60	Professional		$339.17	$428.49	$585.60
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $113.45 / $132.53 / $204.52	Professional	26	$113.45	$132.53	$204.52
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $225.72 / $309.13 / $381.07	Professional	TC	$225.72	$309.13	$381.07
United Facility/Professional Professional Modifier Low / Median / High Price $246.53 / $398.48 / $819.45	Professional		$246.53	$398.48	$819.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.83 / $164.98 / $290.18	Professional	26	$100.83	$164.98	$290.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $155.19 / $254.31 / $531.02	Professional	TC	$155.19	$254.31	$531.02