Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.95 / $145.57 / $154.10	Professional		$98.95	$145.57	$154.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.80 / $19.18 / $43.38	Professional	26	$17.80	$19.18	$43.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.77 / $110.72 / $127.76	Professional	TC	$79.77	$110.72	$127.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.54 / $319.93 / $427.97	Professional		$64.54	$319.93	$427.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $38.69 / $51.75	Professional	26	$9.55	$38.69	$51.75
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.25 / $203.81 / $376.18	Professional	TC	$44.25	$203.81	$376.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.97 / $194.19 / $569.02	Professional		$96.97	$194.19	$569.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.38 / $27.23 / $89.97	Professional	26	$11.38	$27.23	$89.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.20 / $172.07 / $506.47	Professional	TC	$71.20	$172.07	$506.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $215.88 / $292.99 / $666.31	Professional		$215.88	$292.99	$666.31
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $25.18 / $36.51 / $77.72	Professional	26	$25.18	$36.51	$77.72
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $190.70 / $276.52 / $588.60	Professional	TC	$190.70	$276.52	$588.60
United Facility/Professional Professional Modifier Low / Median / High Price $128.83 / $194.19 / $323.82	Professional		$128.83	$194.19	$323.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.80 / $26.25 / $61.21	Professional	26	$16.80	$26.25	$61.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $98.11 / $163.52 / $253.63	Professional	TC	$98.11	$163.52	$253.63
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $145.47 / $174.56 / $256.61	Professional		$145.47	$174.56	$256.61
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $19.52 / $27.33 / $58.81	Professional	26	$19.52	$27.33	$58.81
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $125.04 / $147.10 / $202.75	Professional	TC	$125.04	$147.10	$202.75