Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.86 / $40.21 / $53.66	Facility	26	$17.86	$40.21	$53.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.32 / $108.30 / $275.00	Professional		$57.32	$108.30	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.14 / $17.86 / $42.69	Professional	26	$9.14	$17.86	$42.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.18 / $90.44 / $220.00	Professional	TC	$48.18	$90.44	$220.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.75 / $135.77 / $271.60	Professional		$79.75	$135.77	$271.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.47 / $19.39 / $31.13	Professional	26	$11.47	$19.39	$31.13
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.76 / $116.38 / $230.42	Professional	TC	$70.76	$116.38	$230.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.93 / $207.64 / $352.67	Professional		$143.93	$207.64	$352.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.87 / $16.44 / $30.66	Professional	26	$12.87	$16.44	$30.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.01 / $188.16 / $322.77	Professional	TC	$125.01	$188.16	$322.77
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $117.44 / $179.98 / $240.91	Professional		$117.44	$179.98	$240.91
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $12.47 / $13.30 / $24.40	Professional	26	$12.47	$13.30	$24.40
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $100.79 / $125.53 / $184.97	Professional	TC	$100.79	$125.53	$184.97
United Facility/Professional Professional Modifier Low / Median / High Price $111.86 / $173.26 / $344.36	Professional		$111.86	$173.26	$344.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.74 / $17.39 / $36.13	Professional	26	$10.74	$17.39	$36.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $100.29 / $150.96 / $308.76	Professional	TC	$100.29	$150.96	$308.76