Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $204.17 / $257.04	Facility	26	$104.71	$204.17	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $218.78	Professional		$67.61	$91.20	$218.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $48.98 / $138.04	Professional	26	$37.15	$48.98	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $42.66 / $79.43	Professional	TC	$21.88	$42.66	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $123.03 / $194.98	Professional		$63.10	$123.03	$194.98
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $77.62 / $109.65	Professional	26	$38.02	$77.62	$109.65
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $45.71 / $93.33	Professional	TC	$23.44	$45.71	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $269.15	Professional		$81.28	$117.49	$269.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $72.44 / $138.04	Professional	26	$47.86	$72.44	$138.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $53.70 / $141.25	Professional	TC	$32.36	$53.70	$141.25
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $165.96	Professional		$104.71	$125.89	$165.96
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $66.07 / $83.18	Professional	26	$56.23	$66.07	$83.18
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $66.07 / $87.10	Professional	TC	$38.90	$66.07	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $213.80	Professional		$74.13	$107.15	$213.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $61.66 / $109.65	Professional	26	$41.69	$61.66	$109.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $46.77 / $107.15	Professional	TC	$31.62	$46.77	$107.15