Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $147.91 / $295.12	Facility	26	$112.20	$147.91	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $478.63 / $870.96	Professional		$323.59	$478.63	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $141.25 / $257.04	Professional	26	$81.28	$141.25	$257.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $354.81 / $691.83	Professional	TC	$257.04	$354.81	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $724.44 / $1,047.13	Professional		$316.23	$724.44	$1,047.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $173.78 / $251.19	Professional	26	$75.86	$173.78	$251.19
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $549.54 / $812.83	Professional	TC	$239.88	$549.54	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $741.31 / $1,348.96	Professional		$426.58	$741.31	$1,348.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $158.49 / $239.88	Professional	26	$95.50	$158.49	$239.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $562.34 / $1,148.15	Professional	TC	$331.13	$562.34	$1,148.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $575.44 / $891.25	Professional		$363.08	$575.44	$891.25
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $134.90 / $208.93	Professional	26	$87.10	$134.90	$208.93
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $436.52 / $676.08	Professional	TC	$281.84	$436.52	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $575.44 / $1,047.13	Professional		$371.54	$575.44	$1,047.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $109.65 / $218.78	Professional	26	$74.13	$109.65	$218.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $436.52 / $812.83	Professional	TC	$281.84	$436.52	$812.83
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $57.54 / $57.54	Facility	26	$48.98	$57.54	$57.54