Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.35 / $111.64 / $253.29	Facility	26	$62.35	$111.64	$253.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $86.17 / $127.96	Professional		$70.98	$86.17	$127.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.81 / $43.71 / $84.67	Professional	26	$38.81	$43.71	$84.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.59 / $42.75 / $63.20	Professional	TC	$31.59	$42.75	$63.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $113.56 / $166.12	Professional		$68.09	$113.56	$166.12
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.38 / $55.59 / $82.77	Professional	26	$34.38	$55.59	$82.77
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.79 / $56.52 / $80.26	Professional	TC	$28.79	$56.52	$80.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $120.11 / $261.61	Professional		$75.81	$120.11	$261.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.36 / $71.03 / $130.72	Professional	26	$54.36	$71.03	$130.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.28 / $59.52 / $133.74	Professional	TC	$19.28	$59.52	$133.74
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $98.32 / $118.97 / $175.14	Professional		$98.32	$118.97	$175.14
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $49.41 / $57.61 / $89.36	Professional	26	$49.41	$57.61	$89.36
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $45.58 / $61.37 / $85.78	Professional	TC	$45.58	$61.37	$85.78
United Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $130.88 / $257.97	Professional		$73.45	$130.88	$257.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.35 / $68.67 / $131.11	Professional	26	$46.35	$68.67	$131.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.61 / $63.81 / $131.50	Professional	TC	$36.61	$63.81	$131.50