Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $22.86 / $23.22	Professional		$21.86	$22.86	$23.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.10 / $16.96 / $17.50	Professional	26	$16.10	$16.96	$17.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.36 / $5.76 / $6.27	Professional	TC	$5.36	$5.76	$6.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $45.80 / $61.26	Professional		$11.63	$45.80	$61.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.72 / $34.34 / $45.93	Professional	26	$8.72	$34.34	$45.93
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $2.91 / $11.45 / $15.89	Professional	TC	$2.91	$11.45	$15.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $29.26 / $81.80	Professional		$14.63	$29.26	$81.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.58 / $20.98 / $58.16	Professional	26	$10.58	$20.98	$58.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.40 / $8.60 / $23.65	Professional	TC	$3.40	$8.60	$23.65
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $44.73 / $101.73	Professional		$32.96	$44.73	$101.73
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $23.33 / $31.66 / $72.01	Professional	26	$23.33	$31.66	$72.01
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $9.63 / $13.07 / $29.72	Professional	TC	$9.63	$13.07	$29.72
United Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $30.93 / $54.16	Professional		$18.55	$30.93	$54.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.05 / $23.41 / $40.99	Professional	26	$14.05	$23.41	$40.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.51 / $7.52 / $13.17	Professional	TC	$4.51	$7.52	$13.17
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $27.18 / $41.05	Professional		$22.60	$27.18	$41.05
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $17.34 / $20.79 / $29.62	Professional	26	$17.34	$20.79	$29.62
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $5.75 / $6.90 / $10.21	Professional	TC	$5.75	$6.90	$10.21