Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $102.33 / $213.80	Professional		$56.23	$102.33	$213.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $26.92 / $69.18	Professional	26	$18.20	$26.92	$69.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $72.44 / $147.91	Professional	TC	$37.15	$72.44	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $147.91 / $275.42	Professional		$67.61	$147.91	$275.42
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $38.90 / $72.44	Professional	26	$22.91	$38.90	$72.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $54.95 / $204.17	Professional	TC	$43.65	$54.95	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $87.10 / $234.42	Professional		$44.67	$87.10	$234.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $25.12 / $63.10	Professional	26	$14.13	$25.12	$63.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $63.10 / $177.83	Professional	TC	$30.20	$63.10	$177.83
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $199.53 / $257.04	Professional		$112.20	$199.53	$257.04
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $47.86 / $61.66	Professional	26	$33.88	$47.86	$61.66
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $151.36 / $194.98	Professional	TC	$104.71	$151.36	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $158.49 / $371.54	Professional		$70.79	$158.49	$371.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $47.86 / $97.72	Professional	26	$19.50	$47.86	$97.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $114.82 / $275.42	Professional	TC	$50.12	$114.82	$275.42