Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.82 / $51.35 / $51.35	Professional		$41.82	$51.35	$51.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.90 / $29.37 / $29.85	Professional	26	$27.90	$29.37	$29.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.92 / $21.99 / $21.99	Professional	TC	$13.92	$21.99	$21.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $89.39 / $119.57	Professional		$22.70	$89.39	$119.57
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.95 / $59.41 / $79.47	Professional	26	$14.95	$59.41	$79.47
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.75 / $29.98 / $41.38	Professional	TC	$7.75	$29.98	$41.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $56.26 / $154.61	Professional		$27.38	$56.26	$154.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.80 / $36.29 / $99.76	Professional	26	$17.80	$36.29	$99.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.88 / $19.96 / $54.86	Professional	TC	$8.88	$19.96	$54.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $50.47 / $77.33 / $190.87	Professional		$50.47	$77.33	$190.87
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $40.36 / $58.52 / $124.57	Professional	26	$40.36	$58.52	$124.57
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $21.48 / $29.15 / $66.30	Professional	TC	$21.48	$29.15	$66.30
United Facility/Professional Professional Modifier Low / Median / High Price $38.84 / $59.04 / $150.33	Professional		$38.84	$59.04	$150.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.95 / $46.90 / $98.13	Professional	26	$25.95	$46.90	$98.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.28 / $18.80 / $26.14	Professional	TC	$11.28	$18.80	$26.14
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $43.17 / $53.45 / $81.39	Professional		$43.17	$53.45	$81.39
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $29.83 / $35.74 / $48.37	Professional	26	$29.83	$35.74	$48.37
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $14.49 / $17.39 / $25.56	Professional	TC	$14.49	$17.39	$25.56