Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $40.74 / $40.74	Facility	26	$40.74	$40.74	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $104.71	Professional		$30.90	$39.81	$104.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.96 / $28.18	Professional	26	$7.94	$10.96	$28.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.84 / $79.43	Professional	TC	$21.88	$28.84	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $64.57 / $85.11	Professional		$41.69	$64.57	$85.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $16.22 / $23.44	Professional	26	$10.23	$16.22	$23.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $47.86 / $63.10	Professional	TC	$30.90	$47.86	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $123.03	Professional		$51.29	$67.61	$123.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $20.89 / $30.90	Professional	26	$12.59	$20.89	$30.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $48.98 / $93.33	Professional	TC	$37.15	$48.98	$93.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $74.13 / $112.20	Professional		$48.98	$74.13	$112.20
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $18.62 / $27.54	Professional	26	$12.02	$18.62	$27.54
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $58.88 / $85.11	Professional	TC	$36.31	$58.88	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $54.95 / $104.71	Professional		$40.74	$54.95	$104.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $15.14 / $28.84	Professional	26	$10.72	$15.14	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $40.74 / $74.13	Professional	TC	$29.51	$40.74	$74.13
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $6.61 / $7.76 / $7.76	Facility	26	$6.61	$7.76	$7.76