Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $103.78 / $183.94	Professional		$85.00	$103.78	$183.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.12 / $31.14 / $50.48	Professional	26	$30.12	$31.14	$50.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.88 / $72.64 / $133.46	Professional	TC	$54.88	$72.64	$133.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.23 / $214.20 / $286.52	Professional		$55.23	$214.20	$286.52
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.47 / $64.86 / $86.76	Professional	26	$16.47	$64.86	$86.76
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.76 / $149.34 / $199.77	Professional	TC	$38.76	$149.34	$199.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $151.69 / $416.84	Professional		$74.20	$151.69	$416.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.48 / $40.95 / $132.04	Professional	26	$20.48	$40.95	$132.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.14 / $110.74 / $304.31	Professional	TC	$54.14	$110.74	$304.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $165.52 / $240.00 / $510.88	Professional		$165.52	$240.00	$510.88
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $45.55 / $66.05 / $140.59	Professional	26	$45.55	$66.05	$140.59
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $119.98 / $162.84 / $370.32	Professional	TC	$119.98	$162.84	$370.32
United Facility/Professional Professional Modifier Low / Median / High Price $82.87 / $138.12 / $248.28	Professional		$82.87	$138.12	$248.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.26 / $43.77 / $76.64	Professional	26	$26.26	$43.77	$76.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.62 / $107.71 / $414.90	Professional	TC	$64.62	$107.71	$414.90
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $105.23 / $147.32 / $226.26	Professional		$105.23	$147.32	$226.26
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $32.57 / $45.60 / $70.52	Professional	26	$32.57	$45.60	$70.52
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $72.66 / $90.10 / $144.72	Professional	TC	$72.66	$90.10	$144.72