Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.52 / $8.52 / $8.52	Facility	26	$8.52	$8.52	$8.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.45 / $6.99 / $37.53	Professional	26	$5.45	$6.99	$37.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.48 / $22.40 / $86.42	Professional	TC	$17.48	$22.40	$86.42
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.23 / $37.20 / $58.79	Professional	26	$21.23	$37.20	$58.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $68.59 / $119.03 / $195.23	Professional	TC	$68.59	$119.03	$195.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.93 / $38.96 / $80.06	Professional	26	$27.93	$38.96	$80.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.16 / $131.55 / $269.47	Professional	TC	$97.16	$131.55	$269.47
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 $109.01 / $129.00 / $219.80	Professional	TC	$109.01	$129.00	$219.80
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 $92.21 / $157.72 / $218.65	Professional	TC	$92.21	$157.72	$218.65