Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.96 / $45.23 / $45.23	Facility		$8.96	$45.23	$45.23
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.61 / $32.38 / $32.38	Facility	26	$11.61	$32.38	$32.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $12.88 / $32.77	Professional		$11.36	$12.88	$32.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.39 / $9.16 / $24.96	Professional	26	$7.39	$9.16	$24.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.89 / $4.32 / $10.89	Professional	TC	$3.89	$4.32	$10.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.93 / $57.72 / $64.12	Facility		$45.93	$57.72	$64.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $16.14 / $22.64	Professional		$11.00	$16.14	$22.64
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.44 / $10.92 / $15.31	Professional	26	$7.44	$10.92	$15.31
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $16.50 / $24.22 / $33.96	Professional	50	$16.50	$24.22	$33.96
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.56 / $5.22 / $7.31	Professional	TC	$3.56	$5.22	$7.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $45.24 / $147.38	Facility		$16.98	$45.24	$147.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.93 / $21.70 / $34.61	Professional		$13.93	$21.70	$34.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.74 / $14.88 / $23.30	Professional	26	$9.74	$14.88	$23.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.46 / $6.97 / $11.32	Professional	TC	$3.46	$6.97	$11.32
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $20.75 / $41.47	Professional		$8.52	$20.75	$41.47
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $16.27 / $28.07	Professional	26	$9.11	$16.27	$28.07
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $4.07 / $6.40 / $11.53	Professional	TC	$4.07	$6.40	$11.53
United Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $16.29 / $34.08	Professional		$12.71	$16.29	$34.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.03 / $10.90 / $18.42	Professional	26	$9.03	$10.90	$18.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.53 / $5.09 / $10.14	Professional	TC	$3.53	$5.09	$10.14
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $11.31 / $16.62	Professional		$9.42	$11.31	$16.62
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $6.28 / $8.46 / $11.15	Professional	26	$6.28	$8.46	$11.15
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $3.14 / $3.77 / $5.05	Professional	TC	$3.14	$3.77	$5.05