Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.39 / $37.15 / $77.62	Facility	26	$22.39	$37.15	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $338.84	Professional		$75.86	$100.00	$338.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $52.48 / $199.53	Professional	26	$20.89	$52.48	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $72.44 / $257.04	Professional	TC	$56.23	$72.44	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $223.87 / $398.11	Professional		$53.70	$223.87	$398.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $54.95 / $95.50	Professional	26	$14.79	$54.95	$95.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $169.82 / $302.00	Professional	TC	$38.90	$169.82	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $125.89 / $380.19	Professional		$64.57	$125.89	$380.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $31.62 / $91.20	Professional	26	$15.85	$31.62	$91.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $95.50 / $288.40	Professional	TC	$46.77	$95.50	$288.40
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $234.42 / $398.11	Professional		$147.91	$234.42	$398.11
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $57.54 / $100.00	Professional	26	$36.31	$57.54	$100.00
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $194.98 / $316.23	Professional	TC	$109.65	$194.98	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $346.74	Professional		$87.10	$144.54	$346.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $36.31 / $79.43	Professional	26	$21.88	$36.31	$79.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $109.65 / $239.88	Professional	TC	$64.57	$109.65	$239.88