Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	26	$32.36	$32.36	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.18 / $36.31	Professional		$10.00	$13.18	$36.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.91 / $20.42	Professional	26	$7.08	$8.91	$20.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $4.17 / $9.55	Professional	TC	$3.02	$4.17	$9.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $64.57 / $72.44	Facility		$51.29	$64.57	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.98 / $23.44	Professional		$11.75	$16.98	$23.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $11.22 / $15.85	Professional	26	$7.76	$11.22	$15.85
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $17.38 / $25.70 / $35.48	Professional	50	$17.38	$25.70	$35.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.98 / $5.37 / $7.59	Professional	TC	$3.98	$5.37	$7.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $70.79 / $151.36	Facility		$25.12	$70.79	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.42 / $33.88	Professional		$13.49	$20.42	$33.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $14.79 / $22.91	Professional	26	$9.55	$14.79	$22.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.09 / $6.76 / $11.22	Professional	TC	$3.09	$6.76	$11.22
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $16.60 / $30.90	Professional		$8.91	$16.60	$30.90
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $14.13 / $20.42	Professional	26	$9.12	$14.13	$20.42
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $4.57 / $5.75 / $9.33	Professional	TC	$4.57	$5.75	$9.33
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.22 / $38.02	Professional		$12.88	$16.22	$38.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $10.96 / $23.99	Professional	26	$8.51	$10.96	$23.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.55 / $5.37 / $13.18	Professional	TC	$3.55	$5.37	$13.18