Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.22 / $153.84 / $248.51	Facility	26	$52.22	$153.84	$248.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $134.61 / $246.35	Professional		$39.33	$134.61	$246.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.90 / $52.22 / $85.36	Professional	26	$31.90	$52.22	$85.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.43 / $82.39 / $183.00	Professional	TC	$7.43	$82.39	$183.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.34 / $103.63 / $200.60	Professional		$87.34	$103.63	$200.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.07 / $67.15 / $80.54	Professional	26	$36.07	$67.15	$80.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.29 / $25.96 / $143.13	Professional	TC	$21.29	$25.96	$143.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.77 / $158.57 / $320.58	Professional		$81.77	$158.57	$320.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.64 / $54.73 / $100.23	Professional	26	$48.64	$54.73	$100.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.67 / $103.84 / $231.58	Professional	TC	$22.67	$103.84	$231.58
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $57.19 / $104.24 / $160.37	Professional		$57.19	$104.24	$160.37
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $39.15 / $40.71 / $45.79	Professional	26	$39.15	$40.71	$45.79
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $18.04 / $18.75 / $114.58	Professional	TC	$18.04	$18.75	$114.58
United Facility/Professional Professional Modifier Low / Median / High Price $94.07 / $176.25 / $320.41	Professional		$94.07	$176.25	$320.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.99 / $56.41 / $92.04	Professional	26	$37.99	$56.41	$92.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.51 / $134.53 / $231.46	Professional	TC	$72.51	$134.53	$231.46