Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.39 / $51.52 / $65.58	Facility	26	$17.39	$51.52	$65.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.51 / $85.79 / $274.86	Professional		$59.51	$85.79	$274.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.81 / $17.39 / $49.47	Professional	26	$11.81	$17.39	$49.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.34 / $186.80 / $260.73	Professional		$82.34	$186.80	$260.73
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.31 / $33.29 / $46.48	Professional	26	$14.31	$33.29	$46.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $125.16 / $235.46	Professional		$80.45	$125.16	$235.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.12 / $20.81 / $33.15	Professional	26	$17.12	$20.81	$33.15
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $80.52 / $90.88 / $125.92	Professional		$80.52	$90.88	$125.92
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $14.71 / $17.14 / $31.24	Professional	26	$14.71	$17.14	$31.24
United Facility/Professional Professional Modifier Low / Median / High Price $76.38 / $129.34 / $229.92	Professional		$76.38	$129.34	$229.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.16 / $20.80 / $31.72	Professional	26	$12.16	$20.80	$31.72