Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.40 / $49.04 / $166.95	Facility	26	$39.40	$49.04	$166.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $370.50 / $600.00	Professional		$78.45	$370.50	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.32 / $69.94 / $166.95	Professional	26	$16.32	$69.94	$166.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.49 / $143.50 / $170.26	Professional		$49.49	$143.50	$170.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.64 / $27.09 / $33.47	Professional	26	$11.64	$27.09	$33.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.83 / $122.18 / $174.29	Professional		$65.83	$122.18	$174.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.39 / $16.72 / $30.66	Professional	26	$13.39	$16.72	$30.66
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $53.04 / $96.95 / $137.85	Professional		$53.04	$96.95	$137.85
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $11.59 / $13.30 / $24.40	Professional	26	$11.59	$13.30	$24.40
United Facility/Professional Professional Modifier Low / Median / High Price $52.81 / $92.79 / $167.52	Professional		$52.81	$92.79	$167.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.98 / $18.36 / $39.79	Professional	26	$10.98	$18.36	$39.79