Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $251.19 / $251.19	Facility	26	$7.94	$251.19	$251.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $7.94 / $89.13	Professional	26	$5.01	$7.94	$89.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $22.91 / $95.50	Professional	TC	$16.98	$22.91	$95.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $37.15 / $58.88	Professional	26	$22.39	$37.15	$58.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $120.23 / $190.55	Professional	TC	$74.13	$120.23	$190.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $38.90 / $83.18	Professional	26	$26.92	$38.90	$83.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $131.83 / $275.42	Professional	TC	$89.13	$131.83	$275.42
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $39.81 / $51.29	Professional	26	$28.84	$39.81	$51.29
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $134.90 / $162.18	Professional	TC	$100.00	$134.90	$162.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $39.81 / $61.66	Professional	26	$20.89	$39.81	$61.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $131.83 / $204.17	Professional	TC	$66.07	$131.83	$204.17