Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.67 / $58.92 / $191.67	Professional		$48.67	$58.92	$191.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.04 / $16.85 / $50.16	Professional	26	$13.04	$16.85	$50.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.76 / $42.21 / $110.62	Professional	TC	$34.76	$42.21	$110.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.69 / $121.99 / $151.46	Professional		$103.69	$121.99	$151.46
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.14 / $31.17 / $41.03	Professional	26	$22.14	$31.17	$41.03
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.02 / $88.47 / $119.11	Professional	TC	$74.02	$88.47	$119.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.85 / $59.94 / $185.06	Professional		$46.85	$59.94	$185.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.45 / $20.09 / $41.11	Professional	26	$11.45	$20.09	$41.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.15 / $43.42 / $144.10	Professional	TC	$31.15	$43.42	$144.10
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $64.38 / $90.32 / $166.43	Professional		$64.38	$90.32	$166.43
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $16.77 / $35.11 / $51.39	Professional	26	$16.77	$35.11	$51.39
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $49.91 / $115.81 / $163.22	Professional	TC	$49.91	$115.81	$163.22
United Facility/Professional Professional Modifier Low / Median / High Price $54.52 / $145.63 / $274.43	Professional		$54.52	$145.63	$274.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.41 / $32.74 / $58.63	Professional	26	$13.41	$32.74	$58.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.88 / $121.13 / $242.46	Professional	TC	$48.88	$121.13	$242.46