Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $173.78 / $173.78 / $173.78	Facility	26	$173.78	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $380.19 / $676.08	Professional		$316.23	$380.19	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $112.20 / $151.36	Professional	26	$93.33	$112.20	$151.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $251.19 / $309.03	Professional	TC	$218.78	$251.19	$309.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $691.83 / $1,000.00	Professional		$331.13	$691.83	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $213.80 / $309.03	Professional	26	$104.71	$213.80	$309.03
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $478.63 / $691.83	Professional	TC	$223.87	$478.63	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $645.65 / $1,288.25	Professional		$407.38	$645.65	$1,288.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $204.17 / $354.81	Professional	26	$123.03	$204.17	$354.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $426.58 / $933.25	Professional	TC	$257.04	$426.58	$933.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $602.56 / $1,047.13	Professional		$371.54	$602.56	$1,047.13
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $194.98 / $331.13	Professional	26	$120.23	$194.98	$331.13
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $407.38 / $707.95	Professional	TC	$257.04	$407.38	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $602.56 / $1,148.15	Professional		$380.19	$602.56	$1,148.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $181.97 / $346.74	Professional	26	$131.83	$181.97	$346.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $407.38 / $741.31	Professional	TC	$263.03	$407.38	$741.31