Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.89 / $69.81 / $82.16	Facility	26	$18.89	$69.81	$82.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.69 / $75.30 / $255.50	Professional		$53.69	$75.30	$255.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.26 / $18.89 / $50.40	Professional	26	$13.26	$18.89	$50.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.67 / $56.40 / $158.16	Professional	TC	$40.67	$56.40	$158.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.17 / $102.76 / $127.13	Professional		$73.17	$102.76	$127.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.85 / $24.71 / $30.30	Professional	26	$14.85	$24.71	$30.30
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.25 / $76.34 / $100.79	Professional	TC	$57.25	$76.34	$100.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $107.13 / $177.37	Professional		$81.06	$107.13	$177.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.53 / $23.97 / $40.47	Professional	26	$19.53	$23.97	$40.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.09 / $80.33 / $140.62	Professional	TC	$61.09	$80.33	$140.62
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $87.32 / $112.04	Professional		$70.06	$87.32	$112.04
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $15.60 / $19.38 / $35.54	Professional	26	$15.60	$19.38	$35.54
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $47.68 / $74.20 / $127.34	Professional	TC	$47.68	$74.20	$127.34
United Facility/Professional Professional Modifier Low / Median / High Price $66.05 / $110.38 / $175.06	Professional		$66.05	$110.38	$175.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.96 / $25.76 / $39.54	Professional	26	$15.96	$25.76	$39.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.81 / $88.24 / $135.51	Professional	TC	$52.81	$88.24	$135.51