Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $72.44 / $89.13	Facility	26	$36.31	$72.44	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $53.70 / $87.10	Professional		$41.69	$53.70	$87.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.85 / $26.92	Professional	26	$12.02	$15.85	$26.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $38.02 / $57.54	Professional	TC	$28.84	$38.02	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $81.28 / $109.65	Professional		$44.67	$81.28	$109.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $22.91 / $33.88	Professional	26	$13.49	$22.91	$33.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $56.23 / $79.43	Professional	TC	$31.62	$56.23	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $165.96	Professional		$57.54	$85.11	$165.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $23.99 / $46.77	Professional	26	$16.60	$23.99	$46.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $60.26 / $114.82	Professional	TC	$40.74	$60.26	$114.82
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $79.43 / $93.33	Professional		$56.23	$79.43	$93.33
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $22.39 / $27.54	Professional	26	$18.20	$22.39	$27.54
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $53.70 / $69.18	Professional	TC	$38.90	$53.70	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $74.13 / $128.82	Professional		$48.98	$74.13	$128.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $20.89 / $38.02	Professional	26	$14.79	$20.89	$38.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $53.70 / $93.33	Professional	TC	$34.67	$53.70	$93.33