Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.74 / $126.53 / $153.90	Facility	26	$35.74	$126.53	$153.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $60.59 / $117.10	Professional		$41.03	$60.59	$117.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.86 / $27.23 / $45.91	Professional	26	$22.86	$27.23	$45.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.67 / $33.58 / $58.29	Professional	TC	$16.67	$33.58	$58.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $69.17 / $139.02	Professional		$43.42	$69.17	$139.02
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.33 / $40.90 / $59.63	Professional	26	$23.33	$40.90	$59.63
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.32 / $29.44 / $75.11	Professional	TC	$16.32	$29.44	$75.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.91 / $75.28 / $179.63	Professional		$59.91	$75.28	$179.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.60 / $41.94 / $82.39	Professional	26	$29.60	$41.94	$82.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.26 / $37.75 / $107.64	Professional	TC	$24.26	$37.75	$107.64
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $88.73 / $164.18	Professional		$66.31	$88.73	$164.18
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $32.83 / $40.21 / $66.20	Professional	26	$32.83	$40.21	$66.20
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $26.76 / $52.91 / $97.96	Professional	TC	$26.76	$52.91	$97.96
United Facility/Professional Professional Modifier Low / Median / High Price $52.85 / $74.70 / $147.34	Professional		$52.85	$74.70	$147.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.69 / $36.54 / $70.53	Professional	26	$25.69	$36.54	$70.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.74 / $38.65 / $87.97	Professional	TC	$24.74	$38.65	$87.97