Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.47 / $81.11 / $104.19	Facility	26	$26.47	$81.11	$104.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.01 / $121.23 / $270.14	Professional		$84.01	$121.23	$270.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.69 / $94.77 / $216.06	Professional	TC	$65.69	$94.77	$216.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.15 / $251.13 / $344.60	Professional		$113.15	$251.13	$344.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $95.71 / $212.42 / $272.86	Professional	TC	$95.71	$212.42	$272.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $184.55 / $324.77	Professional		$121.00	$184.55	$324.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $92.85 / $142.69 / $274.91	Professional	TC	$92.85	$142.69	$274.91
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $118.87 / $138.46 / $180.39	Professional		$118.87	$138.46	$180.39
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $91.63 / $132.38 / $234.70	Professional	TC	$91.63	$132.38	$234.70
United Facility/Professional Professional Modifier Low / Median / High Price $113.66 / $184.04 / $290.49	Professional		$113.66	$184.04	$290.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $94.28 / $156.65 / $245.45	Professional	TC	$94.28	$156.65	$245.45