Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $83.18 / $323.59	Professional		$72.44	$83.18	$323.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $177.83 / $436.52	Professional	26	$47.86	$177.83	$436.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $34.67 / $123.03	Professional	TC	$23.99	$34.67	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $151.36 / $199.53	Professional		$38.90	$151.36	$199.53
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $97.72 / $131.83	Professional	26	$26.92	$97.72	$131.83
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $52.48 / $70.79	Professional	TC	$14.79	$52.48	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $100.00 / $257.04	Professional		$44.67	$100.00	$257.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $60.26 / $165.96	Professional	26	$29.51	$60.26	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $38.02 / $91.20	Professional	TC	$15.85	$38.02	$91.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $275.42	Professional		$97.72	$131.83	$275.42
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $95.50 / $181.97	Professional	26	$66.07	$95.50	$181.97
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $45.71 / $95.50	Professional	TC	$35.48	$45.71	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $245.47	Professional		$89.13	$114.82	$245.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $74.13 / $162.18	Professional	26	$57.54	$74.13	$162.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $38.02 / $102.33	Professional	TC	$26.92	$38.02	$102.33