Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $56.23 / $107.15	Professional		$41.69	$56.23	$107.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $18.20 / $40.74	Professional	26	$12.02	$18.20	$40.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $35.48 / $67.61	Professional	TC	$25.70	$35.48	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $83.18 / $181.97	Professional		$54.95	$83.18	$181.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $29.51 / $61.66	Professional	26	$19.05	$29.51	$61.66
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $44.67 / $120.23	Professional	TC	$35.48	$44.67	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $64.57 / $138.04	Professional		$36.31	$64.57	$138.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $21.38 / $48.98	Professional	26	$12.02	$21.38	$48.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $42.66 / $95.50	Professional	TC	$23.44	$42.66	$95.50
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $162.18	Professional		$67.61	$97.72	$162.18
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $34.67 / $45.71	Professional	26	$24.55	$34.67	$45.71
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $63.10 / $79.43	Professional	TC	$42.66	$63.10	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $104.71 / $223.87	Professional		$44.67	$104.71	$223.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $38.90 / $81.28	Professional	26	$16.22	$38.90	$81.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $69.18 / $144.54	Professional	TC	$28.84	$69.18	$144.54