Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.61 / $47.46 / $109.28	Professional		$31.61	$47.46	$109.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.28 / $19.87 / $39.09	Professional	26	$14.28	$19.87	$39.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.32 / $29.29 / $70.19	Professional	TC	$17.32	$29.29	$70.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $95.49 / $135.76	Professional		$73.48	$95.49	$135.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.92 / $36.65 / $46.67	Professional	26	$27.92	$36.65	$46.67
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.67 / $62.91 / $94.98	Professional	TC	$41.67	$62.91	$94.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.92 / $52.67 / $152.93	Professional		$28.92	$52.67	$152.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.11 / $25.31 / $52.22	Professional	26	$13.11	$25.31	$52.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.09 / $34.34 / $103.23	Professional	TC	$14.09	$34.34	$103.23
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $49.88 / $87.74 / $161.47	Professional		$49.88	$87.74	$161.47
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $18.14 / $36.19 / $47.21	Professional	26	$18.14	$36.19	$47.21
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $10.44 / $62.08 / $115.58	Professional	TC	$10.44	$62.08	$115.58
United Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $106.54 / $226.78	Professional		$39.61	$106.54	$226.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.84 / $37.49 / $73.70	Professional	26	$14.84	$37.49	$73.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.31 / $68.20 / $153.08	Professional	TC	$25.31	$68.20	$153.08