Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.45 / $430.36 / $502.42	Professional		$384.45	$430.36	$502.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.49 / $43.37 / $43.40	Professional	26	$42.49	$43.37	$43.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $341.96 / $386.96 / $459.05	Professional	TC	$341.96	$386.96	$459.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.21 / $988.67 / $1,338.66	Professional		$252.21	$988.67	$1,338.66
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.26 / $91.02 / $121.75	Professional	26	$23.26	$91.02	$121.75
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $228.96 / $897.67 / $1,222.77	Professional	TC	$228.96	$897.67	$1,222.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.68 / $559.35 / $1,640.46	Professional		$279.68	$559.35	$1,640.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.19 / $55.12 / $154.91	Professional	26	$28.19	$55.12	$154.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $252.12 / $504.24 / $1,485.54	Professional	TC	$252.12	$504.24	$1,485.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $620.99 / $900.44 / $1,916.69	Professional		$620.99	$900.44	$1,916.69
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $62.58 / $90.74 / $193.15	Professional	26	$62.58	$90.74	$193.15
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $558.41 / $809.69 / $1,723.53	Professional	TC	$558.41	$809.69	$1,723.53
United Facility/Professional Professional Modifier Low / Median / High Price $367.31 / $559.35 / $825.92	Professional		$367.31	$559.35	$825.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.07 / $72.72 / $173.07	Professional	26	$39.07	$72.72	$173.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $330.75 / $551.25 / $965.23	Professional	TC	$330.75	$551.25	$965.23
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $517.20 / $658.25 / $3,375.00	Professional		$517.20	$658.25	$3,375.00
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $45.37 / $53.99 / $80.03	Professional	26	$45.37	$53.99	$80.03
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $424.81 / $505.53 / $787.41	Professional	TC	$424.81	$505.53	$787.41