Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.21 / $47.38 / $56.06	Professional		$45.21	$47.38	$56.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.94 / $18.98 / $19.41	Professional	26	$18.94	$18.98	$19.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.80 / $28.39 / $37.11	Professional	TC	$25.80	$28.39	$37.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $112.28 / $150.19	Professional		$26.93	$112.28	$150.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.10 / $39.79 / $53.22	Professional	26	$10.10	$39.79	$53.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.42 / $72.48 / $96.96	Professional	TC	$16.42	$72.48	$96.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.17 / $71.87 / $228.86	Professional		$32.17	$71.87	$228.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.08 / $24.51 / $67.37	Professional	26	$12.08	$24.51	$67.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.00 / $49.02 / $161.49	Professional	TC	$15.00	$49.02	$161.49
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $93.32 / $135.31 / $288.02	Professional		$93.32	$135.31	$288.02
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $27.40 / $37.19 / $84.57	Professional	26	$27.40	$37.19	$84.57
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $65.91 / $95.57 / $203.43	Professional	TC	$65.91	$95.57	$203.43
United Facility/Professional Professional Modifier Low / Median / High Price $43.07 / $69.65 / $113.54	Professional		$43.07	$69.65	$113.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.14 / $26.67 / $46.70	Professional	26	$17.14	$26.67	$46.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.07 / $45.11 / $78.98	Professional	TC	$27.07	$45.11	$78.98
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $50.15 / $62.81 / $96.35	Professional		$50.15	$62.81	$96.35
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $19.89 / $23.87 / $32.02	Professional	26	$19.89	$23.87	$32.02
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $39.95 / $55.93	Professional	TC	$28.84	$39.95	$55.93