Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.70 / $117.56 / $270.94	Facility	26	$66.70	$117.56	$270.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.05 / $98.52 / $150.40	Professional		$81.05	$98.52	$150.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.58 / $54.45 / $83.50	Professional	TC	$40.58	$54.45	$83.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.61 / $124.23 / $195.88	Professional		$74.61	$124.23	$195.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.59 / $66.56 / $107.41	Professional	TC	$36.59	$66.56	$107.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.21 / $136.52 / $295.47	Professional		$82.21	$136.52	$295.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.28 / $73.25 / $160.97	Professional	TC	$19.28	$73.25	$160.97
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $102.98 / $122.54 / $179.72	Professional		$102.98	$122.54	$179.72
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $52.06 / $65.76 / $87.62	Professional	TC	$52.06	$65.76	$87.62
United Facility/Professional Professional Modifier Low / Median / High Price $90.62 / $146.09 / $291.54	Professional		$90.62	$146.09	$291.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.80 / $79.23 / $155.75	Professional	TC	$45.80	$79.23	$155.75