Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $28.18 / $60.26	Facility	26	$28.18	$28.18	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $275.42	Professional		$77.62	$112.20	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $36.31 / $66.07	Professional	26	$20.89	$36.31	$66.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $81.28 / $204.17	Professional	TC	$54.95	$81.28	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $218.78	Professional		$104.71	$158.49	$218.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $38.02 / $52.48	Professional	26	$25.70	$38.02	$52.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $120.23 / $165.96	Professional	TC	$79.43	$120.23	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $323.59	Professional		$112.20	$177.83	$323.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $45.71 / $75.86	Professional	26	$30.90	$45.71	$75.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $128.82 / $245.47	Professional	TC	$89.13	$128.82	$245.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $281.84	Professional		$123.03	$190.55	$281.84
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $45.71 / $67.61	Professional	26	$30.20	$45.71	$67.61
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $144.54 / $213.80	Professional	TC	$93.33	$144.54	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $295.12	Professional		$109.65	$147.91	$295.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $36.31 / $69.18	Professional	26	$28.18	$36.31	$69.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $112.20 / $213.80	Professional	TC	$81.28	$112.20	$213.80