Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.07 / $37.90 / $56.77	Facility	26	$16.07	$37.90	$56.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $37.59 / $53.03	Professional		$29.04	$37.59	$53.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.29 / $14.08 / $21.40	Professional	26	$12.29	$14.08	$21.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.75 / $23.51 / $31.64	Professional	TC	$16.75	$23.51	$31.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.96 / $66.01 / $93.35	Professional		$44.96	$66.01	$93.35
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $23.27 / $32.90	Professional	26	$15.85	$23.27	$32.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.11 / $42.74 / $60.33	Professional	TC	$29.11	$42.74	$60.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.11 / $94.75 / $143.54	Professional		$58.11	$94.75	$143.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.85 / $31.28 / $49.02	Professional	26	$19.85	$31.28	$49.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.26 / $58.80 / $94.51	Professional	TC	$38.26	$58.80	$94.51
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $98.06 / $169.55	Professional		$51.49	$98.06	$169.55
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $18.14 / $31.38 / $59.76	Professional	26	$18.14	$31.38	$59.76
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $33.33 / $59.23 / $109.79	Professional	TC	$33.33	$59.23	$109.79
United Facility/Professional Professional Modifier Low / Median / High Price $53.11 / $61.97 / $95.73	Professional		$53.11	$61.97	$95.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.34 / $24.31 / $41.07	Professional	26	$17.34	$24.31	$41.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.77 / $37.54 / $54.87	Professional	TC	$31.77	$37.54	$54.87
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $42.56 / $64.28	Professional		$32.79	$42.56	$64.28
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $13.20 / $15.53 / $20.63	Professional	26	$13.20	$15.53	$20.63
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $20.83 / $27.03 / $37.26	Professional	TC	$20.83	$27.03	$37.26