Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.85 / $92.59 / $149.57	Facility	26	$31.85	$92.59	$149.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $94.16 / $231.01	Professional		$64.86	$94.16	$231.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.45 / $34.50 / $95.06	Professional	26	$24.45	$34.50	$95.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.11 / $62.31 / $156.59	Professional	TC	$44.11	$62.31	$156.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $123.92 / $147.02	Professional		$41.25	$123.92	$147.02
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.98 / $43.29 / $51.92	Professional	26	$21.98	$43.29	$51.92
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.82 / $81.33 / $96.50	Professional	TC	$16.82	$81.33	$96.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.61 / $100.77 / $137.44	Professional		$56.61	$100.77	$137.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.66 / $35.17 / $60.92	Professional	26	$30.66	$35.17	$60.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.06 / $67.98 / $90.67	Professional	TC	$23.06	$67.98	$90.67
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $95.80 / $100.36	Professional		$45.99	$95.80	$100.36
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $25.04 / $26.04 / $27.49	Professional	26	$25.04	$26.04	$27.49
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $19.45 / $20.13 / $54.17	Professional	TC	$19.45	$20.13	$54.17
United Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $69.16 / $113.08	Professional		$48.24	$69.16	$113.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.87 / $33.72 / $55.40	Professional	26	$20.87	$33.72	$55.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.79 / $33.84 / $56.76	Professional	TC	$19.79	$33.84	$56.76