Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.59 / $173.13 / $234.05	Professional		$156.59	$173.13	$234.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.18 / $92.89 / $105.80	Professional	26	$89.18	$92.89	$105.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.41 / $80.23 / $128.25	Professional	TC	$67.41	$80.23	$128.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.66 / $380.98 / $509.63	Professional		$99.66	$380.98	$509.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.63 / $203.30 / $271.95	Professional	26	$51.63	$203.30	$271.95
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.03 / $177.67 / $237.66	Professional	TC	$48.03	$177.67	$237.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.73 / $239.47 / $658.06	Professional		$116.73	$239.47	$658.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.46 / $119.09 / $326.82	Professional	26	$59.46	$119.09	$326.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.26 / $118.51 / $331.24	Professional	TC	$59.26	$118.51	$331.24
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $262.17 / $380.15 / $809.19	Professional		$262.17	$380.15	$809.19
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $130.72 / $189.54 / $403.47	Professional	26	$130.72	$189.54	$403.47
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $131.46 / $190.62 / $405.75	Professional	TC	$131.46	$190.62	$405.75
United Facility/Professional Professional Modifier Low / Median / High Price $162.13 / $246.00 / $270.24	Professional		$162.13	$246.00	$270.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.09 / $135.16 / $236.69	Professional	26	$81.09	$135.16	$236.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.50 / $110.83 / $194.06	Professional	TC	$66.50	$110.83	$194.06
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $185.71 / $232.14 / $332.70	Professional		$185.71	$232.14	$332.70
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $100.43 / $120.52 / $182.39	Professional	26	$100.43	$120.52	$182.39
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $85.28 / $105.75 / $161.52	Professional	TC	$85.28	$105.75	$161.52