Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $64.57 / $165.96	Professional		$39.81	$64.57	$165.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $22.91 / $79.43	Professional	26	$15.14	$22.91	$79.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $42.66 / $97.72	Professional	TC	$23.99	$42.66	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $173.78	Professional		$77.62	$100.00	$173.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $39.81 / $67.61	Professional	26	$29.51	$39.81	$67.61
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $57.54 / $117.49	Professional	TC	$45.71	$57.54	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $52.48 / $147.91	Professional		$31.62	$52.48	$147.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $18.20 / $48.98	Professional	26	$12.88	$18.20	$48.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $37.15 / $91.20	Professional	TC	$16.60	$37.15	$91.20
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $89.13 / $151.36	Professional		$41.69	$89.13	$151.36
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $35.48 / $46.77	Professional	26	$25.12	$35.48	$46.77
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $12.30 / $63.10 / $117.49	Professional	TC	$12.30	$63.10	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $89.13 / $234.42	Professional		$38.02	$89.13	$234.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $37.15 / $77.62	Professional	26	$15.14	$37.15	$77.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $60.26 / $154.88	Professional	TC	$26.30	$60.26	$154.88