Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.58 / $27.58 / $127.55	Facility	26	$27.58	$27.58	$127.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.84 / $106.46 / $309.82	Professional		$72.84	$106.46	$309.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.30 / $27.58 / $63.70	Professional	26	$18.30	$27.58	$63.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.55 / $78.87 / $103.58	Professional	TC	$54.55	$78.87	$103.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.01 / $157.60 / $213.58	Professional		$71.01	$157.60	$213.58
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.57 / $34.25 / $46.24	Professional	26	$19.57	$34.25	$46.24
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.11 / $123.06 / $167.33	Professional	TC	$52.11	$123.06	$167.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $67.55 / $67.55	Professional		$67.55	$67.55	$67.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.45 / $18.45 / $18.45	Professional	26	$18.45	$18.45	$18.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.10 / $49.10 / $49.10	Professional	TC	$49.10	$49.10	$49.10
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $82.27 / $96.53 / $126.76	Professional		$82.27	$96.53	$126.76
ConnectiCare Facility/Professional Professional Modifier 26 Low / Median / High Price $20.97 / $21.80 / $33.86	Professional	26	$20.97	$21.80	$33.86
ConnectiCare Facility/Professional Professional Modifier TC Low / Median / High Price $61.30 / $63.73 / $92.91	Professional	TC	$61.30	$63.73	$92.91
United Facility/Professional Professional Modifier Low / Median / High Price $77.34 / $120.75 / $184.51	Professional		$77.34	$120.75	$184.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.89 / $29.16 / $46.42	Professional	26	$19.89	$29.16	$46.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.76 / $106.67 / $132.08	Professional	TC	$58.76	$106.67	$132.08