Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.52 / $58.81 / $161.24	Professional		$37.52	$58.81	$161.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.97 / $23.48 / $62.69	Professional	26	$15.97	$23.48	$62.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.55 / $33.59 / $68.56	Professional	TC	$21.55	$33.59	$68.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $103.61 / $128.63	Professional		$88.06	$103.61	$128.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.13 / $40.64 / $53.29	Professional	26	$30.13	$40.64	$53.29
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.32 / $63.89 / $84.62	Professional	TC	$53.32	$63.89	$84.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.54 / $58.09 / $140.18	Professional		$30.54	$58.09	$140.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.47 / $29.55 / $56.42	Professional	26	$14.47	$29.55	$56.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.86 / $29.81 / $89.25	Professional	TC	$13.86	$29.81	$89.25
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $59.45 / $90.20 / $154.47	Professional		$59.45	$90.20	$154.47
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $19.55 / $38.99 / $50.91	Professional	26	$19.55	$38.99	$50.91
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $13.34 / $56.42 / $105.08	Professional	TC	$13.34	$56.42	$105.08
United Facility/Professional Professional Modifier Low / Median / High Price $41.70 / $109.39 / $207.88	Professional		$41.70	$109.39	$207.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.21 / $46.77 / $100.20	Professional	26	$18.21	$46.77	$100.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.24 / $66.37 / $146.18	Professional	TC	$26.24	$66.37	$146.18