Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $173.78 / $776.25	Professional		$85.11	$173.78	$776.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $102.33 / $436.52	Professional	26	$30.90	$102.33	$436.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $112.20 / $562.34	Professional	TC	$53.70	$112.20	$562.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $213.80 / $288.40	Professional		$89.13	$213.80	$288.40
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $64.57 / $87.10	Professional	26	$24.55	$64.57	$87.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $147.91 / $199.53	Professional	TC	$64.57	$147.91	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $229.09 / $416.87	Professional		$74.13	$229.09	$416.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $61.66 / $131.83	Professional	26	$20.89	$61.66	$131.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $165.96 / $302.00	Professional	TC	$53.70	$165.96	$302.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $457.09	Professional		$169.82	$223.87	$457.09
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $61.66 / $125.89	Professional	26	$46.77	$61.66	$125.89
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $162.18 / $331.13	Professional	TC	$123.03	$162.18	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $489.78	Professional		$134.90	$169.82	$489.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $52.48 / $131.83	Professional	26	$40.74	$52.48	$131.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $123.03 / $354.81	Professional	TC	$91.20	$123.03	$354.81