Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $3.31 / $20.89	Facility		$3.31	$3.31	$20.89
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.48 / $56.23 / $204.17	Facility	26	$35.48	$56.23	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $22.91 / $109.65	Professional		$10.72	$22.91	$109.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $48.98 / $138.04	Professional	26	$16.98	$48.98	$138.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $16.60 / $28.18	Facility		$8.13	$16.60	$28.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $69.18 / $112.20	Professional		$50.12	$69.18	$112.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $33.88 / $69.18	Professional	26	$22.39	$33.88	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $19.05 / $70.79	Facility		$2.09	$19.05	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $40.74 / $40.74	Professional	26	$40.74	$40.74	$40.74
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $100.00	Professional		$69.18	$91.20	$100.00
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $85.11 / $93.33	Professional	26	$64.57	$85.11	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.18 / $128.82	Professional		$19.05	$28.18	$128.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $29.51 / $120.23	Professional	26	$19.05	$29.51	$120.23