Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.92 / $77.95 / $123.10	Professional		$64.92	$77.95	$123.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.57 / $17.14 / $23.80	Professional	26	$14.57	$17.14	$23.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.35 / $59.43 / $99.29	Professional	TC	$50.35	$59.43	$99.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.42 / $156.24 / $225.09	Professional		$106.42	$156.24	$225.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.11 / $26.59 / $37.60	Professional	26	$18.11	$26.59	$37.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $88.31 / $129.65 / $187.99	Professional	TC	$88.31	$129.65	$187.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.93 / $179.66 / $362.37	Professional		$124.93	$179.66	$362.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.05 / $37.54 / $56.95	Professional	26	$23.05	$37.54	$56.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $88.73 / $145.10 / $305.42	Professional	TC	$88.73	$145.10	$305.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $121.83 / $218.85 / $401.32	Professional		$121.83	$218.85	$401.32
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $20.74 / $35.88 / $68.31	Professional	26	$20.74	$35.88	$68.31
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $101.09 / $179.66 / $333.00	Professional	TC	$101.09	$179.66	$333.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.90 / $143.56 / $219.69	Professional		$69.90	$143.56	$219.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.80 / $25.34 / $52.23	Professional	26	$18.80	$25.34	$52.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.85 / $117.67 / $181.41	Professional	TC	$57.85	$117.67	$181.41
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $87.58 / $96.34 / $122.61	Professional		$87.58	$96.34	$122.61
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $14.48 / $16.04 / $17.50	Professional	26	$14.48	$16.04	$17.50
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $72.45 / $80.29 / $87.59	Professional	TC	$72.45	$80.29	$87.59