Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $380.19 / $380.19 / $380.19	Facility	26	$380.19	$380.19	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $190.55	Professional		$91.20	$151.36	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $54.95 / $64.57	Professional	TC	$30.90	$54.95	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $302.00	Professional		$144.54	$213.80	$302.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $75.86 / $109.65	Professional	TC	$53.70	$75.86	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $331.13 / $436.52	Professional		$186.21	$331.13	$436.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $125.89 / $165.96	Professional	TC	$69.18	$125.89	$165.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $281.84 / $446.68	Professional		$165.96	$281.84	$446.68
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $104.71 / $162.18	Professional	TC	$63.10	$104.71	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $478.63	Professional		$165.96	$204.17	$478.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $77.62 / $162.18	Professional	TC	$64.57	$77.62	$162.18
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $69.18 / $69.18	Facility	26	$69.18	$69.18	$69.18