Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.48 / $107.15 / $147.91	Facility	26	$35.48	$107.15	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $81.28 / $269.15	Professional		$39.81	$81.28	$269.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $48.98 / $95.50	Professional	26	$23.99	$48.98	$95.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $53.70 / $154.88	Professional	TC	$15.85	$53.70	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $109.65 / $162.18	Professional		$45.71	$109.65	$162.18
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $43.65 / $58.88	Professional	26	$23.44	$43.65	$58.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $72.44 / $104.71	Professional	TC	$17.78	$72.44	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $100.00 / $144.54	Professional		$56.23	$100.00	$144.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $35.48 / $60.26	Professional	26	$30.90	$35.48	$60.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $66.07 / $97.72	Professional	TC	$22.91	$66.07	$97.72
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $93.33 / $100.00	Professional		$47.86	$93.33	$100.00
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $30.90 / $32.36	Professional	26	$25.12	$30.90	$32.36
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $24.55 / $63.10	Professional	TC	$20.42	$24.55	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $67.61 / $123.03	Professional		$47.86	$67.61	$123.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $31.62 / $53.70	Professional	26	$20.89	$31.62	$53.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $33.88 / $70.79	Professional	TC	$19.95	$33.88	$70.79