Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $151.36 / $151.36 / $151.36	Facility	26	$151.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $223.87	Professional		$83.18	$112.20	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $70.79 / $141.25	Professional	TC	$52.48	$70.79	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $269.15	Professional		$109.65	$169.82	$269.15
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $107.15 / $169.82	Professional	TC	$70.79	$107.15	$169.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $50.12 / $50.12	Facility	26	$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $223.87 / $354.81	Professional		$131.83	$223.87	$354.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $151.36 / $234.42	Professional	TC	$83.18	$151.36	$234.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $302.00	Professional		$128.82	$199.53	$302.00
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $128.82 / $186.21	Professional	TC	$81.28	$128.82	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $338.84	Professional		$114.82	$173.78	$338.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $107.15 / $186.21	Professional	TC	$69.18	$107.15	$186.21
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $29.51 / $29.51	Facility	26	$25.12	$29.51	$29.51