Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.25 / $106.53 / $130.19	Facility	26	$34.25	$106.53	$130.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $101.84 / $173.64	Professional		$72.73	$101.84	$173.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.06 / $69.26 / $127.28	Professional	TC	$49.06	$69.26	$127.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.35 / $226.61 / $316.30	Professional		$82.35	$226.61	$316.30
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.51 / $160.72 / $224.34	Professional	TC	$56.51	$160.72	$224.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.16 / $132.52 / $271.45	Professional		$93.16	$132.52	$271.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.21 / $90.64 / $192.85	Professional	TC	$59.21	$90.64	$192.85
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $97.29 / $138.65 / $169.28	Professional		$97.29	$138.65	$169.28
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $69.30 / $79.27 / $122.61	Professional	TC	$69.30	$79.27	$122.61
United Facility/Professional Professional Modifier Low / Median / High Price $85.39 / $138.94 / $216.92	Professional		$85.39	$138.94	$216.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.63 / $98.29 / $149.91	Professional	TC	$58.63	$98.29	$149.91