Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.34 / $90.85 / $187.64	Facility	26	$49.34	$90.85	$187.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.32 / $288.45 / $905.58	Professional		$267.32	$288.45	$905.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.21 / $43.47 / $143.86	Professional	26	$37.21	$43.47	$143.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.84 / $250.51 / $761.71	Professional	TC	$223.84	$250.51	$761.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.82 / $441.66 / $640.40	Professional		$300.82	$441.66	$640.40
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.61 / $66.95 / $97.09	Professional	26	$45.61	$66.95	$97.09
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $255.21 / $374.70 / $543.30	Professional	TC	$255.21	$374.70	$543.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.39 / $753.39 / $1,027.69	Professional		$402.39	$753.39	$1,027.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.62 / $107.32 / $140.93	Professional	26	$59.62	$107.32	$140.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $342.77 / $646.07 / $893.56	Professional	TC	$342.77	$646.07	$893.56
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $350.27 / $612.03 / $1,225.27	Professional		$350.27	$612.03	$1,225.27
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $53.00 / $92.59 / $171.98	Professional	26	$53.00	$92.59	$171.98
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $296.58 / $518.13 / $962.44	Professional	TC	$296.58	$518.13	$962.44
United Facility/Professional Professional Modifier Low / Median / High Price $296.14 / $445.09 / $649.37	Professional		$296.14	$445.09	$649.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.80 / $64.73 / $107.27	Professional	26	$46.80	$64.73	$107.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $249.35 / $382.55 / $554.51	Professional	TC	$249.35	$382.55	$554.51
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $284.27 / $332.03 / $501.45	Professional		$284.27	$332.03	$501.45
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $38.44 / $46.08 / $62.34	Professional	26	$38.44	$46.08	$62.34
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $243.78 / $286.80 / $421.52	Professional	TC	$243.78	$286.80	$421.52