Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $100.00 / $123.03	Facility	26	$51.29	$100.00	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $57.54 / $138.04	Professional		$37.15	$57.54	$138.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $23.99 / $64.57	Professional	26	$18.20	$23.99	$64.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $34.67 / $66.07	Professional	TC	$16.60	$34.67	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $61.66 / $123.03	Professional		$38.90	$61.66	$123.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $31.62 / $47.86	Professional	26	$19.50	$31.62	$47.86
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $28.18 / $77.62	Professional	TC	$16.22	$28.18	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $75.86 / $181.97	Professional		$50.12	$75.86	$181.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $34.67 / $67.61	Professional	26	$23.44	$34.67	$67.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $42.66 / $117.49	Professional	TC	$22.91	$42.66	$117.49
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $112.20	Professional		$60.26	$85.11	$112.20
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $32.36 / $39.81	Professional	26	$26.92	$32.36	$39.81
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $56.23 / $72.44	Professional	TC	$27.54	$56.23	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $67.61 / $138.04	Professional		$46.77	$67.61	$138.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $29.51 / $53.70	Professional	26	$20.42	$29.51	$53.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $36.31 / $89.13	Professional	TC	$24.55	$36.31	$89.13