Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.37 / $61.19 / $136.78	Professional		$49.37	$61.19	$136.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.89 / $9.47 / $19.10	Professional	26	$7.89	$9.47	$19.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.48 / $48.85 / $85.94	Professional	TC	$41.48	$48.85	$85.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.19 / $68.05 / $89.94	Professional		$41.19	$68.05	$89.94
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.66 / $10.55 / $14.52	Professional	26	$6.66	$10.55	$14.52
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.32 / $56.82 / $75.42	Professional	TC	$34.32	$56.82	$75.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.34 / $56.77 / $162.36	Professional		$43.34	$56.77	$162.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $11.15 / $24.93	Professional	26	$7.51	$11.15	$24.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.42 / $47.70 / $137.11	Professional	TC	$36.42	$47.70	$137.11
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $62.22 / $66.14	Professional		$39.81	$62.22	$66.14
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $6.12 / $10.06 / $13.93	Professional	26	$6.12	$10.06	$13.93
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $33.69 / $51.72 / $56.08	Professional	TC	$33.69	$51.72	$56.08
United Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $53.77 / $108.10	Professional		$33.94	$53.77	$108.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $8.73 / $16.57	Professional	26	$6.31	$8.73	$16.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.13 / $44.26 / $87.27	Professional	TC	$28.13	$44.26	$87.27