Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $9.64 / $13.89	Professional	26	$8.41	$9.64	$13.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.07 / $25.99 / $30.06	Professional	TC	$19.07	$25.99	$30.06
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $15.20 / $21.49	Professional	26	$10.35	$15.20	$21.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.88 / $37.99 / $53.72	Professional	TC	$25.88	$37.99	$53.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.00 / $21.48 / $32.08	Professional	26	$13.00	$21.48	$32.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $52.60 / $83.20	Professional	TC	$33.88	$52.60	$83.20
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.85 / $20.50 / $39.04	Professional	26	$11.85	$20.50	$39.04
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $29.62 / $52.53 / $97.57	Professional	TC	$29.62	$52.53	$97.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.57 / $14.52 / $30.47	Professional	26	$10.57	$14.52	$30.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.62 / $35.47 / $55.43	Professional	TC	$29.62	$35.47	$55.43
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $8.64 / $10.17 / $14.03	Professional	26	$8.64	$10.17	$14.03
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $21.80 / $25.67 / $35.39	Professional	TC	$21.80	$25.67	$35.39