Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $72.44 / $72.44	Facility	26	$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $467.74 / $575.44	Professional		$398.11	$467.74	$575.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $72.44 / $257.04	Professional	26	$54.95	$72.44	$257.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $398.11 / $489.78	Professional	TC	$338.84	$398.11	$489.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $891.25 / $1,288.25	Professional		$416.87	$891.25	$1,288.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $138.04 / $199.53	Professional	26	$64.57	$138.04	$199.53
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $741.31 / $1,071.52	Professional	TC	$354.81	$741.31	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,047.13 / $1,380.38	Professional		$549.54	$1,047.13	$1,380.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $151.36 / $199.53	Professional	26	$83.18	$151.36	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $467.74 / $891.25 / $1,174.90	Professional	TC	$467.74	$891.25	$1,174.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $812.83 / $1,479.11	Professional		$489.78	$812.83	$1,479.11
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $125.89 / $204.17	Professional	26	$74.13	$125.89	$204.17
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $407.38 / $676.08 / $1,096.48	Professional	TC	$407.38	$676.08	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $1,659.59	Professional		$512.86	$660.69	$1,659.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $89.13 / $169.82	Professional	26	$74.13	$89.13	$169.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $436.52 / $549.54 / $1,096.48	Professional	TC	$436.52	$549.54	$1,096.48