Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.11 / $38.90 / $38.90	Facility	26	$14.11	$38.90	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $29.01 / $79.25	Professional		$21.92	$29.01	$79.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.08 / $8.91 / $24.79	Professional	26	$8.08	$8.91	$24.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.84 / $19.37 / $54.46	Professional	TC	$13.84	$19.37	$54.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $45.59 / $64.47	Professional		$31.05	$45.59	$64.47
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.06 / $13.30 / $18.80	Professional	26	$9.06	$13.30	$18.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.00 / $32.29 / $45.58	Professional	TC	$22.00	$32.29	$45.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $64.91 / $96.79	Professional		$39.65	$64.91	$96.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.82 / $19.46 / $29.32	Professional	26	$11.82	$19.46	$29.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.85 / $42.76 / $67.51	Professional	TC	$27.85	$42.76	$67.51
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $61.49 / $117.11	Professional		$35.54	$61.49	$117.11
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.37 / $17.27 / $34.15	Professional	26	$10.37	$17.27	$34.15
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $25.18 / $44.65 / $82.95	Professional	TC	$25.18	$44.65	$82.95
United Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $43.54 / $76.68	Professional		$33.50	$43.54	$76.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.14 / $13.14 / $29.42	Professional	26	$8.14	$13.14	$29.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.36 / $29.84 / $47.26	Professional	TC	$25.36	$29.84	$47.26
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $30.12 / $45.49	Professional		$24.59	$30.12	$45.49
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $7.87 / $9.65 / $13.19	Professional	26	$7.87	$9.65	$13.19
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $16.13 / $20.93 / $28.85	Professional	TC	$16.13	$20.93	$28.85