Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $47.35 / $104.72	Professional		$36.65	$47.35	$104.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.04 / $15.47 / $36.10	Professional	26	$12.04	$15.47	$36.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.62 / $34.19 / $68.62	Professional	TC	$24.62	$34.19	$68.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $78.48 / $119.25	Professional		$52.40	$78.48	$119.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.29 / $27.28 / $40.78	Professional	26	$18.29	$27.28	$40.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.11 / $51.20 / $86.67	Professional	TC	$34.11	$51.20	$86.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.21 / $70.76 / $149.66	Professional		$36.21	$70.76	$149.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.95 / $24.93 / $53.25	Professional	26	$11.95	$24.93	$53.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.39 / $45.83 / $97.83	Professional	TC	$23.39	$45.83	$97.83
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $97.96 / $157.44	Professional		$48.58	$97.96	$157.44
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $17.48 / $34.61 / $45.53	Professional	26	$17.48	$34.61	$45.53
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $31.09 / $63.36 / $81.73	Professional	TC	$31.09	$63.36	$81.73
United Facility/Professional Professional Modifier Low / Median / High Price $47.84 / $113.65 / $236.22	Professional		$47.84	$113.65	$236.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.26 / $41.69 / $71.15	Professional	26	$17.26	$41.69	$71.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.31 / $70.92 / $134.63	Professional	TC	$26.31	$70.92	$134.63