Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.21 / $52.62 / $54.86	Professional		$45.21	$52.62	$54.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.18 / $19.87 / $19.98	Professional	26	$19.18	$19.87	$19.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.23 / $32.76 / $35.68	Professional	TC	$25.23	$32.76	$35.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.07 / $112.28 / $150.19	Professional		$29.07	$112.28	$150.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $40.34 / $53.96	Professional	26	$10.24	$40.34	$53.96
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.72 / $71.94 / $97.36	Professional	TC	$18.72	$71.94	$97.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $70.33 / $224.13	Professional		$34.54	$70.33	$224.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.25 / $24.86 / $68.31	Professional	26	$12.25	$24.86	$68.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.00 / $41.82 / $155.82	Professional	TC	$13.00	$41.82	$155.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $92.58 / $125.65 / $285.75	Professional		$92.58	$125.65	$285.75
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $27.77 / $34.99 / $85.12	Professional	26	$27.77	$34.99	$85.12
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $64.80 / $93.96 / $200.01	Professional	TC	$64.80	$93.96	$200.01
United Facility/Professional Professional Modifier Low / Median / High Price $44.87 / $74.79 / $130.96	Professional		$44.87	$74.79	$130.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.46 / $27.07 / $29.44	Professional	26	$16.46	$27.07	$29.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.41 / $47.36 / $157.54	Professional	TC	$28.41	$47.36	$157.54
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $48.31 / $65.48 / $100.44	Professional		$48.31	$65.48	$100.44
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $20.32 / $24.36 / $32.95	Professional	26	$20.32	$24.36	$32.95
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $26.64 / $41.94 / $62.08	Professional	TC	$26.64	$41.94	$62.08