Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.60 / $138.63 / $177.65	Facility	26	$44.60	$138.63	$177.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.80 / $101.80 / $253.66	Professional		$70.80	$101.80	$253.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.19 / $57.20 / $173.41	Professional	TC	$39.19	$57.20	$173.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.86 / $227.20 / $302.49	Professional		$97.86	$227.20	$302.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.50 / $149.09 / $201.48	Professional	TC	$63.50	$149.09	$201.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.75 / $241.19 / $343.08	Professional		$128.75	$241.19	$343.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $80.83 / $174.59 / $275.12	Professional	TC	$80.83	$174.59	$275.12
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $126.02 / $184.86 / $256.44	Professional		$126.02	$184.86	$256.44
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $77.98 / $97.09 / $165.98	Professional	TC	$77.98	$97.09	$165.98
United Facility/Professional Professional Modifier Low / Median / High Price $102.54 / $158.60 / $264.52	Professional		$102.54	$158.60	$264.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.67 / $110.47 / $157.50	Professional	TC	$62.67	$110.47	$157.50