Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.26 / $14.26 / $14.26	Facility	26	$14.26	$14.26	$14.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $11.12 / $26.60	Professional	26	$9.16	$11.12	$26.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.83 / $16.53 / $40.36	Professional	TC	$13.83	$16.53	$40.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.73 / $37.25 / $58.79	Professional	26	$18.73	$37.25	$58.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.97 / $55.24 / $90.89	Professional	TC	$28.97	$55.24	$90.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.32 / $39.20 / $80.06	Professional	26	$28.32	$39.20	$80.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.21 / $61.24 / $125.44	Professional	TC	$44.21	$61.24	$125.44
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $32.35 / $39.64 / $65.23	Professional	26	$32.35	$39.64	$65.23
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $50.95 / $60.27 / $102.73	Professional	TC	$50.95	$60.27	$102.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.66 / $47.48 / $58.52	Professional	26	$20.66	$47.48	$58.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.56 / $73.42 / $90.48	Professional	TC	$30.56	$73.42	$90.48