Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.70 / $72.40 / $88.12	Facility	26	$21.70	$72.40	$88.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $49.16 / $76.50	Professional		$44.59	$49.16	$76.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.12 / $15.07 / $21.70	Professional	26	$13.12	$15.07	$21.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.03 / $34.65 / $54.80	Professional	TC	$30.03	$34.65	$54.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.05 / $82.31 / $110.11	Professional		$44.05	$82.31	$110.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.38 / $23.96 / $33.75	Professional	26	$13.38	$23.96	$33.75
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.83 / $56.75 / $77.94	Professional	TC	$31.83	$56.75	$77.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.77 / $88.34 / $165.42	Professional		$61.77	$88.34	$165.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.41 / $23.79 / $46.93	Professional	26	$17.41	$23.79	$46.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.12 / $64.55 / $116.93	Professional	TC	$44.12	$64.55	$116.93
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $57.63 / $81.73 / $116.21	Professional		$57.63	$81.73	$116.21
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $18.04 / $23.14 / $36.38	Professional	26	$18.04	$23.14	$36.38
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $39.59 / $55.14 / $79.83	Professional	TC	$39.59	$55.14	$79.83
United Facility/Professional Professional Modifier Low / Median / High Price $51.92 / $73.81 / $135.49	Professional		$51.92	$73.81	$135.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.70 / $20.98 / $40.35	Professional	26	$14.70	$20.98	$40.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.17 / $57.55 / $102.21	Professional	TC	$37.17	$57.55	$102.21