Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.91 / $64.89 / $80.29	Professional		$59.91	$64.89	$80.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.54 / $38.00 / $44.41	Professional	26	$35.54	$38.00	$44.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.28 / $27.89 / $35.88	Professional	TC	$24.28	$27.89	$35.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.78 / $76.42 / $117.98	Professional		$61.78	$76.42	$117.98
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.26 / $44.44 / $67.31	Professional	26	$35.26	$44.44	$67.31
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.52 / $31.98 / $50.64	Professional	TC	$26.52	$31.98	$50.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.33 / $75.78 / $149.86	Professional		$44.33	$75.78	$149.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.75 / $44.75 / $85.28	Professional	26	$32.75	$44.75	$85.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.84 / $31.31 / $64.58	Professional	TC	$21.84	$31.31	$64.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $45.97 / $78.23 / $198.55	Professional		$45.97	$78.23	$198.55
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $29.02 / $44.93 / $106.89	Professional	26	$29.02	$44.93	$106.89
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $21.83 / $33.79 / $85.22	Professional	TC	$21.83	$33.79	$85.22
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $66.54 / $148.21	Professional		$42.66	$66.54	$148.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.99 / $42.17 / $84.57	Professional	26	$26.99	$42.17	$84.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.89 / $30.86 / $63.67	Professional	TC	$16.89	$30.86	$63.67
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $59.21 / $88.38	Professional		$50.10	$59.21	$88.38
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $29.06 / $34.83 / $47.12	Professional	26	$29.06	$34.83	$47.12
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $20.04 / $24.32 / $33.52	Professional	TC	$20.04	$24.32	$33.52