Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.43 / $96.99 / $96.99	Facility	26	$36.43	$96.99	$96.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $79.45 / $231.01	Professional		$64.86	$79.45	$231.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.75 / $26.65 / $74.42	Professional	26	$20.75	$26.65	$74.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.11 / $52.81 / $156.59	Professional	TC	$44.11	$52.81	$156.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $56.51 / $81.93	Professional		$39.79	$56.51	$81.93
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.29 / $33.08 / $47.96	Professional	26	$23.29	$33.08	$47.96
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.50 / $23.43 / $33.97	Professional	TC	$16.50	$23.43	$33.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.67 / $83.81 / $163.32	Professional		$52.67	$83.81	$163.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.55 / $49.18 / $74.70	Professional	26	$30.55	$49.18	$74.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.12 / $32.51 / $71.48	Professional	TC	$22.12	$32.51	$71.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $32.68 / $80.78 / $162.06	Professional		$32.68	$80.78	$162.06
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $27.06 / $50.79 / $87.82	Professional	26	$27.06	$50.79	$87.82
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $18.89 / $33.57 / $57.90	Professional	TC	$18.89	$33.57	$57.90
United Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $79.66 / $225.88	Professional		$59.58	$79.66	$225.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.80 / $30.87 / $54.77	Professional	26	$26.80	$30.87	$54.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.76 / $35.96 / $112.83	Professional	TC	$29.76	$35.96	$112.83
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $52.64 / $83.24	Professional		$37.60	$52.64	$83.24
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $18.51 / $22.95 / $31.73	Professional	26	$18.51	$22.95	$31.73
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $19.07 / $23.66 / $49.55	Professional	TC	$19.07	$23.66	$49.55