Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $67.77 / $207.44	Professional		$44.68	$67.77	$207.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.24 / $18.88 / $57.49	Professional	26	$14.24	$18.88	$57.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.45 / $48.89 / $119.43	Professional	TC	$30.45	$48.89	$119.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.87 / $148.63 / $218.90	Professional		$63.87	$148.63	$218.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.71 / $36.47 / $53.63	Professional	26	$21.71	$36.47	$53.63
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.17 / $105.15 / $165.62	Professional	TC	$42.17	$105.15	$165.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $92.44 / $248.87	Professional		$44.24	$92.44	$248.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.14 / $29.91 / $64.08	Professional	26	$14.14	$29.91	$64.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.10 / $62.53 / $177.56	Professional	TC	$30.10	$62.53	$177.56
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $97.29 / $196.94 / $253.24	Professional		$97.29	$196.94	$253.24
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $23.88 / $47.53 / $62.15	Professional	26	$23.88	$47.53	$62.15
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $73.41 / $149.40 / $192.59	Professional	TC	$73.41	$149.40	$192.59
United Facility/Professional Professional Modifier Low / Median / High Price $63.81 / $163.19 / $368.60	Professional		$63.81	$163.19	$368.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.82 / $51.41 / $93.93	Professional	26	$17.82	$51.41	$93.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.59 / $123.98 / $275.42	Professional	TC	$50.59	$123.98	$275.42