Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.51 / $176.67 / $176.67	Facility	26	$64.51	$176.67	$176.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.93 / $262.16 / $262.16	Professional		$187.93	$262.16	$262.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $154.15 / $215.20 / $215.20	Professional	TC	$154.15	$215.20	$215.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.96 / $290.64 / $421.42	Professional		$197.96	$290.64	$421.42
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $156.56 / $229.85 / $333.28	Professional	TC	$156.56	$229.85	$333.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.33 / $484.89 / $668.66	Professional		$264.33	$484.89	$668.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $210.22 / $388.27 / $545.54	Professional	TC	$210.22	$388.27	$545.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $230.50 / $402.75 / $3,253.80	Professional		$230.50	$402.75	$3,253.80
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $181.94 / $317.85 / $590.40	Professional	TC	$181.94	$317.85	$590.40
United Facility/Professional Professional Modifier Low / Median / High Price $286.49 / $296.52 / $694.66	Professional		$286.49	$296.52	$694.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $230.47 / $242.69 / $549.39	Professional	TC	$230.47	$242.69	$549.39
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $182.59 / $200.85 / $255.63	Professional		$182.59	$200.85	$255.63
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $146.81 / $162.66 / $177.46	Professional	TC	$146.81	$162.66	$177.46