Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.81 / $64.81 / $95.36	Facility	26	$64.81	$64.81	$95.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.89 / $308.87 / $671.78	Professional		$281.89	$308.87	$671.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.58 / $57.15 / $167.96	Professional	26	$49.58	$57.15	$167.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $232.32 / $251.71 / $486.88	Professional	TC	$232.32	$251.71	$486.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.94 / $435.96 / $632.14	Professional		$296.94	$435.96	$632.14
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.13 / $89.76 / $130.15	Professional	26	$61.13	$89.76	$130.15
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $235.81 / $346.20 / $501.99	Professional	TC	$235.81	$346.20	$501.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.72 / $735.96 / $1,031.10	Professional		$396.72	$735.96	$1,031.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.98 / $143.94 / $189.10	Professional	26	$79.98	$143.94	$189.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $316.74 / $592.00 / $849.45	Professional	TC	$316.74	$592.00	$849.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $345.75 / $604.14 / $3,253.80	Professional		$345.75	$604.14	$3,253.80
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $71.05 / $124.12 / $230.55	Professional	26	$71.05	$124.12	$230.55
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $274.02 / $474.11 / $889.24	Professional	TC	$274.02	$474.11	$889.24
United Facility/Professional Professional Modifier Low / Median / High Price $431.81 / $451.80 / $641.74	Professional		$431.81	$451.80	$641.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.10 / $90.03 / $127.54	Professional	26	$83.10	$90.03	$127.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $348.71 / $377.76 / $514.30	Professional	TC	$348.71	$377.76	$514.30
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $217.61 / $316.56 / $485.58	Professional		$217.61	$316.56	$485.58
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $51.09 / $61.23 / $82.85	Professional	26	$51.09	$61.23	$82.85
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $157.91 / $257.39 / $389.89	Professional	TC	$157.91	$257.39	$389.89