Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.75 / $66.50 / $151.13	Facility	26	$37.75	$66.50	$151.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.28 / $160.87 / $322.98	Professional		$114.28	$160.87	$322.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $90.39 / $135.79 / $281.33	Professional	TC	$90.39	$135.79	$281.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.69 / $229.89 / $311.70	Professional		$124.69	$229.89	$311.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $99.55 / $190.98 / $260.39	Professional	TC	$99.55	$190.98	$260.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.70 / $222.63 / $506.40	Professional		$83.70	$222.63	$506.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.64 / $177.85 / $434.94	Professional	TC	$46.64	$177.85	$434.94
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $181.35 / $249.32 / $353.41	Professional		$181.35	$249.32	$353.41
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $149.07 / $213.74 / $298.48	Professional	TC	$149.07	$213.74	$298.48
United Facility/Professional Professional Modifier Low / Median / High Price $95.49 / $208.47 / $498.06	Professional		$95.49	$208.47	$498.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.55 / $167.49 / $380.74	Professional	TC	$91.55	$167.49	$380.74