Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $154.88 / $181.97	Facility	26	$50.12	$154.88	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $165.96	Professional		$72.44	$109.65	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $69.18 / $120.23	Professional	TC	$46.77	$69.18	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $194.98 / $302.00	Professional		$81.28	$194.98	$302.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $131.83 / $194.98	Professional	TC	$44.67	$131.83	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $218.78 / $346.74	Professional		$97.72	$218.78	$346.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $144.54 / $257.04	Professional	TC	$63.10	$144.54	$257.04
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $251.19	Professional		$134.90	$186.21	$251.19
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $102.33 / $147.91	Professional	TC	$85.11	$102.33	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $144.54 / $257.04	Professional		$89.13	$144.54	$257.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $91.20 / $162.18	Professional	TC	$52.48	$91.20	$162.18