Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.64 / $45.59 / $45.59	Facility	26	$17.64	$45.59	$45.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.32 / $78.11 / $310.98	Professional		$57.32	$78.11	$310.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.14 / $11.17 / $45.59	Professional	26	$9.14	$11.17	$45.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.18 / $66.95 / $256.00	Professional	TC	$48.18	$66.95	$256.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.04 / $207.33 / $293.20	Professional		$97.04	$207.33	$293.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.32 / $24.19 / $34.20	Professional	26	$11.32	$24.19	$34.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.72 / $183.14 / $258.99	Professional	TC	$85.72	$183.14	$258.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $236.79 / $377.36	Professional		$134.97	$236.79	$377.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.18 / $23.72 / $35.03	Professional	26	$14.18	$23.72	$35.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $119.59 / $211.26 / $344.67	Professional	TC	$119.59	$211.26	$344.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $111.09 / $199.56 / $365.94	Professional		$111.09	$199.56	$365.94
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $12.96 / $23.03 / $42.69	Professional	26	$12.96	$23.03	$42.69
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $98.13 / $174.40 / $323.25	Professional	TC	$98.13	$174.40	$323.25
United Facility/Professional Professional Modifier Low / Median / High Price $144.80 / $157.41 / $313.61	Professional		$144.80	$157.41	$313.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.76 / $16.61 / $33.22	Professional	26	$12.76	$16.61	$33.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $129.49 / $150.40 / $280.54	Professional	TC	$129.49	$150.40	$280.54
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $80.84 / $102.89	Professional		$73.48	$80.84	$102.89
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $9.42 / $10.44 / $11.39	Professional	26	$9.42	$10.44	$11.39
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $63.55 / $70.41 / $76.81	Professional	TC	$63.55	$70.41	$76.81