Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $45.71	Professional		$19.05	$25.12	$45.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $19.95 / $25.70	Professional	26	$15.85	$19.95	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.98 / $25.70	Professional	TC	$3.02	$3.98	$25.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $52.48 / $67.61	Professional		$21.88	$52.48	$67.61
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $30.20 / $37.15	Professional	26	$18.20	$30.20	$37.15
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.24 / $18.20 / $31.62	Professional	TC	$3.24	$18.20	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $57.54 / $81.28	Professional		$25.12	$57.54	$81.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $30.90 / $51.29	Professional	26	$18.20	$30.90	$51.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $4.37 / $14.79 / $48.98	Professional	TC	$4.37	$14.79	$48.98
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $40.74 / $72.44	Professional		$28.84	$40.74	$72.44
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $28.84 / $33.11	Professional	26	$23.99	$28.84	$33.11
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $5.25 / $7.76 / $43.65	Professional	TC	$5.25	$7.76	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $34.67 / $72.44	Professional		$21.88	$34.67	$72.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $24.55 / $43.65	Professional	26	$17.78	$24.55	$43.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.72 / $5.75 / $42.66	Professional	TC	$3.72	$5.75	$42.66