Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $79.43 / $112.20	Facility	26	$24.55	$79.43	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $109.65 / $323.59	Professional		$67.61	$109.65	$323.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $26.92 / $70.79	Professional	26	$16.98	$26.92	$70.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $70.79 / $169.82	Professional	TC	$51.29	$70.79	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $173.78	Professional		$87.10	$114.82	$173.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $28.18 / $39.81	Professional	26	$17.38	$28.18	$39.81
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $85.11 / $141.25	Professional	TC	$67.61	$85.11	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $229.09	Professional		$85.11	$128.82	$229.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $28.84 / $50.12	Professional	26	$19.95	$28.84	$50.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $97.72 / $186.21	Professional	TC	$63.10	$97.72	$186.21
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $141.25	Professional		$85.11	$104.71	$141.25
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $26.92 / $32.36	Professional	26	$18.20	$26.92	$32.36
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $107.15 / $134.90	Professional	TC	$57.54	$107.15	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $194.98	Professional		$72.44	$112.20	$194.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $23.99 / $39.81	Professional	26	$16.60	$23.99	$39.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $87.10 / $154.88	Professional	TC	$57.54	$87.10	$154.88