Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.98 / $104.58 / $127.11	Facility	26	$29.98	$104.58	$127.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $53.72 / $95.90	Professional		$29.85	$53.72	$95.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.35 / $21.89 / $37.96	Professional	26	$18.35	$21.89	$37.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.93 / $30.12 / $47.21	Professional	TC	$9.93	$30.12	$47.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $53.98 / $121.03	Professional		$32.50	$53.98	$121.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.19 / $32.47 / $49.18	Professional	26	$19.19	$32.47	$49.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.31 / $19.26 / $70.09	Professional	TC	$11.31	$19.26	$70.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.20 / $60.19 / $159.09	Professional		$42.20	$60.19	$159.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.36 / $32.17 / $68.16	Professional	26	$24.36	$32.17	$68.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.33 / $28.75 / $99.59	Professional	TC	$14.33	$28.75	$99.59
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $78.78 / $146.03	Professional		$45.45	$78.78	$146.03
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $27.16 / $32.17 / $54.76	Professional	26	$27.16	$32.17	$54.76
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $15.51 / $49.28 / $91.27	Professional	TC	$15.51	$49.28	$91.27
United Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $60.38 / $140.28	Professional		$40.15	$60.38	$140.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.23 / $29.41 / $58.30	Professional	26	$21.23	$29.41	$58.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.56 / $33.25 / $83.20	Professional	TC	$14.56	$33.25	$83.20