Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.79 / $91.22 / $91.22	Facility	26	$34.79	$91.22	$91.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.01 / $117.50 / $147.13	Professional		$84.01	$117.50	$147.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.69 / $93.21 / $117.50	Professional	TC	$65.69	$93.21	$117.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $198.03 / $280.05	Professional		$134.88	$198.03	$280.05
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $112.57 / $165.27 / $233.31	Professional	TC	$112.57	$165.27	$233.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.24 / $232.87 / $435.04	Professional		$158.24	$232.87	$435.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $127.02 / $190.32 / $367.01	Professional	TC	$127.02	$190.32	$367.01
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $154.41 / $274.44 / $508.67	Professional		$154.41	$274.44	$508.67
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $128.86 / $222.90 / $424.48	Professional	TC	$128.86	$222.90	$424.48
United Facility/Professional Professional Modifier Low / Median / High Price $118.10 / $198.40 / $411.87	Professional		$118.10	$198.40	$411.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $99.17 / $134.44 / $233.66	Professional	TC	$99.17	$134.44	$233.66
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $104.74 / $115.21 / $146.63	Professional		$104.74	$115.21	$146.63
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $85.71 / $94.96 / $103.60	Professional	TC	$85.71	$94.96	$103.60