Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.35 / $50.37 / $50.95	Professional		$47.35	$50.37	$50.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.47 / $17.30 / $18.93	Professional	26	$15.47	$17.30	$18.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.44 / $31.88 / $33.65	Professional	TC	$31.44	$31.88	$33.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $114.46 / $161.86	Professional		$28.10	$114.46	$161.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $40.88 / $54.82	Professional	26	$10.24	$40.88	$54.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.86 / $73.58 / $104.05	Professional	TC	$17.86	$73.58	$104.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $65.20 / $190.08	Professional		$32.60	$65.20	$190.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.89 / $23.78 / $67.23	Professional	26	$11.89	$23.78	$67.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.71 / $41.43 / $122.84	Professional	TC	$20.71	$41.43	$122.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $105.78 / $225.16	Professional		$72.95	$105.78	$225.16
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $27.03 / $36.69 / $83.43	Professional	26	$27.03	$36.69	$83.43
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $45.92 / $66.58 / $141.72	Professional	TC	$45.92	$66.58	$141.72
United Facility/Professional Professional Modifier Low / Median / High Price $46.39 / $77.31 / $135.38	Professional		$46.39	$77.31	$135.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.92 / $29.87 / $82.77	Professional	26	$17.92	$29.87	$82.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.55 / $49.26 / $86.25	Professional	TC	$29.55	$49.26	$86.25
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $69.30 / $112.37	Professional		$52.40	$69.30	$112.37
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $17.47 / $24.17 / $33.84	Professional	26	$17.47	$24.17	$33.84
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $34.93 / $44.06 / $61.68	Professional	TC	$34.93	$44.06	$61.68