Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.43 / $56.99 / $75.17	Facility	26	$17.43	$56.99	$75.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $43.22 / $177.72	Professional		$29.04	$43.22	$177.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.29 / $17.43 / $81.54	Professional	26	$12.29	$17.43	$81.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.75 / $23.63 / $93.29	Professional	TC	$16.75	$23.63	$93.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $64.45 / $78.14	Professional		$42.28	$64.45	$78.14
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.31 / $23.96 / $28.74	Professional	26	$14.31	$23.96	$28.74
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.97 / $39.50 / $49.61	Professional	TC	$27.97	$39.50	$49.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.59 / $72.20 / $108.30	Professional		$55.59	$72.20	$108.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.79 / $22.74 / $36.03	Professional	26	$16.79	$22.74	$36.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.58 / $51.72 / $70.83	Professional	TC	$34.58	$51.72	$70.83
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $42.88 / $58.04 / $76.48	Professional		$42.88	$58.04	$76.48
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $15.38 / $18.69 / $33.99	Professional	26	$15.38	$18.69	$33.99
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $25.87 / $35.47 / $60.63	Professional	TC	$25.87	$35.47	$60.63
United Facility/Professional Professional Modifier Low / Median / High Price $42.80 / $66.04 / $101.41	Professional		$42.80	$66.04	$101.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.46 / $24.27 / $37.27	Professional	26	$14.46	$24.27	$37.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $41.10 / $64.14	Professional	TC	$25.70	$41.10	$64.14