Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $50.12 / $165.96	Professional		$45.71	$50.12	$165.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $18.20 / $60.26	Professional	26	$15.14	$18.20	$60.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $33.11 / $107.15	Professional	TC	$30.20	$33.11	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $114.82 / $154.88	Professional		$32.36	$114.82	$154.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $40.74 / $54.95	Professional	26	$11.48	$40.74	$54.95
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $74.13 / $97.72	Professional	TC	$20.42	$74.13	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $64.57 / $190.55	Professional		$32.36	$64.57	$190.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $24.55 / $67.61	Professional	26	$12.02	$24.55	$67.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $41.69 / $123.03	Professional	TC	$20.89	$41.69	$123.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $97.72 / $199.53	Professional		$74.13	$97.72	$199.53
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $36.31 / $74.13	Professional	26	$27.54	$36.31	$74.13
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $60.26 / $125.89	Professional	TC	$46.77	$60.26	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $199.53	Professional		$64.57	$85.11	$199.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $30.90 / $69.18	Professional	26	$23.99	$30.90	$69.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $52.48 / $128.82	Professional	TC	$41.69	$52.48	$128.82