Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.39 / $58.88 / $58.88	Facility	26	$22.39	$58.88	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $125.89	Professional		$30.90	$44.67	$125.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $16.98 / $48.98	Professional	26	$12.02	$16.98	$48.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $26.92 / $53.70	Professional	TC	$18.20	$26.92	$53.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $66.07 / $102.33	Professional		$41.69	$66.07	$102.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $23.44 / $33.88	Professional	26	$15.14	$23.44	$33.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $40.74 / $58.88	Professional	TC	$26.92	$40.74	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $154.88	Professional		$52.48	$83.18	$154.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $30.20 / $44.67	Professional	26	$18.20	$30.20	$44.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $54.95 / $112.20	Professional	TC	$31.62	$54.95	$112.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $69.18 / $112.20	Professional		$33.88	$69.18	$112.20
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $24.55 / $39.81	Professional	26	$17.38	$24.55	$39.81
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $47.86 / $70.79	Professional	TC	$30.90	$47.86	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $64.57 / $104.71	Professional		$45.71	$64.57	$104.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $20.89 / $39.81	Professional	26	$15.49	$20.89	$39.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $39.81 / $67.61	Professional	TC	$26.92	$39.81	$67.61
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $11.22 / $11.22	Facility	26	$9.55	$11.22	$11.22