Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $18.62 / $154.88	Facility		$15.85	$18.62	$154.88
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $31.62 / $36.31	Facility	26	$12.02	$31.62	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.49 / $40.74	Professional		$9.55	$15.49	$40.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.91 / $27.54	Professional	26	$6.03	$8.91	$27.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $29.51 / $29.51 / $29.51	Professional	50	$29.51	$29.51	$29.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.29 / $3.98 / $9.12	Professional	TC	$2.29	$3.98	$9.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $10.72 / $18.20	Facility		$6.46	$10.72	$18.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $16.98 / $24.55	Professional		$10.23	$16.98	$24.55
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $10.96 / $16.22	Professional	26	$6.61	$10.96	$16.22
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $15.14 / $25.12 / $37.15	Professional	50	$15.14	$25.12	$37.15
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.39 / $5.75 / $8.71	Professional	TC	$3.39	$5.75	$8.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $16.98 / $58.88	Facility		$3.55	$16.98	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $19.05 / $33.11	Professional		$13.80	$19.05	$33.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $12.02 / $21.88	Professional	26	$9.12	$12.02	$21.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.82 / $5.62 / $11.22	Professional	TC	$2.82	$5.62	$11.22
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.85 / $19.50	Professional		$13.18	$15.85	$19.50
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $10.72 / $13.80	Professional	26	$8.91	$10.72	$13.80
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $3.72 / $5.50 / $7.24	Professional	TC	$3.72	$5.50	$7.24
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.80 / $25.70	Professional		$9.77	$13.80	$25.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $9.33 / $16.60	Professional	26	$6.46	$9.33	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.09 / $4.47 / $8.71	Professional	TC	$3.09	$4.47	$8.71