Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $57.54 / $218.78	Professional		$44.67	$57.54	$218.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $20.89 / $79.43	Professional	26	$18.20	$20.89	$79.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $38.90 / $158.49	Professional	TC	$25.12	$38.90	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $89.13 / $151.36	Professional		$26.92	$89.13	$151.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $39.81 / $53.70	Professional	26	$10.47	$39.81	$53.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $72.44 / $97.72	Professional	TC	$16.60	$72.44	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $83.18 / $229.09	Professional		$39.81	$83.18	$229.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $24.55 / $67.61	Professional	26	$12.02	$24.55	$67.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $48.98 / $162.18	Professional	TC	$19.50	$48.98	$162.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $257.04	Professional		$95.50	$138.04	$257.04
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $36.31 / $75.86	Professional	26	$27.54	$36.31	$75.86
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $89.13 / $186.21	Professional	TC	$67.61	$89.13	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $91.20 / $208.93	Professional		$42.66	$91.20	$208.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $31.62 / $66.07	Professional	26	$24.55	$31.62	$66.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $67.61 / $147.91	Professional	TC	$43.65	$67.61	$147.91