Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.31 / $157.13 / $157.13	Facility	26	$70.31	$157.13	$157.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $55.57 / $62.80	Professional		$48.24	$55.57	$62.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.95 / $37.99 / $43.08	Professional	26	$32.95	$37.99	$43.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.29 / $17.57 / $19.72	Professional	TC	$15.29	$17.57	$19.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $90.50 / $131.22	Professional		$63.72	$90.50	$131.22
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.96 / $63.86 / $92.59	Professional	26	$44.96	$63.86	$92.59
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.76 / $26.65 / $38.64	Professional	TC	$18.76	$26.65	$38.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.01 / $137.24 / $196.99	Professional		$80.01	$137.24	$196.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.65 / $94.08 / $137.46	Professional	26	$55.65	$94.08	$137.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.16 / $41.44 / $59.53	Professional	TC	$25.16	$41.44	$59.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $131.04 / $259.55	Professional		$72.95	$131.04	$259.55
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $51.49 / $98.06 / $169.55	Professional	26	$51.49	$98.06	$169.55
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $21.49 / $38.17 / $70.76	Professional	TC	$21.49	$38.17	$70.76
United Facility/Professional Professional Modifier Low / Median / High Price $66.37 / $81.34 / $308.41	Professional		$66.37	$81.34	$308.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.14 / $62.25 / $217.83	Professional	26	$42.14	$62.25	$217.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.89 / $24.23 / $45.37	Professional	TC	$23.89	$24.23	$45.37
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $51.01 / $59.58 / $89.98	Professional		$51.01	$59.58	$89.98
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $35.45 / $41.70 / $57.22	Professional	26	$35.45	$41.70	$57.22
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $15.32 / $18.23 / $25.58	Professional	TC	$15.32	$18.23	$25.58