Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.60 / $76.54 / $95.01	Facility	26	$24.60	$76.54	$95.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.05 / $71.41 / $194.62	Professional		$50.05	$71.41	$194.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.71 / $24.60 / $57.87	Professional	26	$16.71	$24.60	$57.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.34 / $46.81 / $136.72	Professional	TC	$33.34	$46.81	$136.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.67 / $100.07 / $122.02	Professional		$59.67	$100.07	$122.02
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.71 / $31.27 / $39.36	Professional	26	$20.71	$31.27	$39.36
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.72 / $68.80 / $81.63	Professional	TC	$40.72	$68.80	$81.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.78 / $98.62 / $184.85	Professional		$73.78	$98.62	$184.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.60 / $30.07 / $50.55	Professional	26	$23.60	$30.07	$50.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.78 / $67.59 / $126.84	Professional	TC	$49.78	$67.59	$126.84
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $70.48 / $80.76 / $91.69	Professional		$70.48	$80.76	$91.69
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $20.97 / $23.57 / $43.16	Professional	26	$20.97	$23.57	$43.16
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $48.02 / $52.79 / $90.33	Professional	TC	$48.02	$52.79	$90.33
United Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $88.29 / $140.02	Professional		$53.55	$88.29	$140.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.32 / $31.36 / $47.83	Professional	26	$19.32	$31.36	$47.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.47 / $60.01 / $92.19	Professional	TC	$35.47	$60.01	$92.19