Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $125.89 / $154.88	Facility	26	$64.57	$125.89	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $64.57 / $158.49	Professional		$41.69	$64.57	$158.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $28.84 / $69.18	Professional	26	$21.88	$28.84	$69.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $34.67 / $63.10	Professional	TC	$16.60	$34.67	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $69.18 / $134.90	Professional		$42.66	$69.18	$134.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $38.90 / $60.26	Professional	26	$23.99	$38.90	$60.26
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $27.54 / $77.62	Professional	TC	$15.85	$27.54	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $81.28 / $194.98	Professional		$54.95	$81.28	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $41.69 / $85.11	Professional	26	$28.18	$41.69	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $41.69 / $112.20	Professional	TC	$22.91	$41.69	$112.20
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $120.23	Professional		$66.07	$91.20	$120.23
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $40.74 / $48.98	Professional	26	$34.67	$40.74	$48.98
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $53.70 / $70.79	Professional	TC	$26.92	$53.70	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $74.13 / $151.36	Professional		$50.12	$74.13	$151.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $37.15 / $66.07	Professional	26	$25.70	$37.15	$66.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $35.48 / $87.10	Professional	TC	$23.99	$35.48	$87.10