Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.68 / $180.77 / $286.73	Professional		$168.68	$180.77	$286.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.76 / $48.02 / $53.67	Professional	26	$47.76	$48.02	$53.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.66 / $127.11 / $238.96	Professional	TC	$120.66	$127.11	$238.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.72 / $663.31 / $887.30	Professional		$164.72	$663.31	$887.30
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.47 / $100.83 / $134.88	Professional	26	$25.47	$100.83	$134.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $139.26 / $562.47 / $752.41	Professional	TC	$139.26	$562.47	$752.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.87 / $367.60 / $1,116.92	Professional		$186.87	$367.60	$1,116.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.02 / $62.05 / $170.50	Professional	26	$31.02	$62.05	$170.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.35 / $271.83 / $946.41	Professional	TC	$147.35	$271.83	$946.41
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $430.66 / $624.46 / $1,329.23	Professional		$430.66	$624.46	$1,329.23
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $69.25 / $100.41 / $213.74	Professional	26	$69.25	$100.41	$213.74
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $361.41 / $524.04 / $1,115.49	Professional	TC	$361.41	$524.04	$1,115.49
United Facility/Professional Professional Modifier Low / Median / High Price $289.51 / $426.87 / $820.49	Professional		$289.51	$426.87	$820.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.90 / $67.48 / $119.35	Professional	26	$40.90	$67.48	$119.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $215.22 / $344.29 / $628.10	Professional	TC	$215.22	$344.29	$628.10
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $186.49 / $382.03 / $619.49	Professional		$186.49	$382.03	$619.49
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $50.30 / $60.30 / $84.12	Professional	26	$50.30	$60.30	$84.12
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $132.55 / $317.87 / $469.15	Professional	TC	$132.55	$317.87	$469.15