Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $42.65 / $57.73	Professional		$34.17	$42.65	$57.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.62 / $16.72 / $19.32	Professional	26	$15.62	$16.72	$19.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.54 / $23.32 / $40.58	Professional	TC	$18.54	$23.32	$40.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.35 / $40.28 / $61.76	Professional		$32.35	$40.28	$61.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.20 / $19.10 / $29.02	Professional	26	$15.20	$19.10	$29.02
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.14 / $21.18 / $32.72	Professional	TC	$17.14	$21.18	$32.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $44.59 / $79.00	Professional		$30.60	$44.59	$79.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.52 / $20.72 / $37.06	Professional	26	$14.52	$20.72	$37.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.21 / $24.06 / $48.59	Professional	TC	$17.21	$24.06	$48.59
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $19.63 / $38.25 / $91.95	Professional		$19.63	$38.25	$91.95
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $12.51 / $19.25 / $49.29	Professional	26	$12.51	$19.25	$49.29
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $14.11 / $21.85 / $55.60	Professional	TC	$14.11	$21.85	$55.60
United Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $42.86 / $79.33	Professional		$26.88	$42.86	$79.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $18.59 / $29.27	Professional	26	$12.88	$18.59	$29.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.60 / $23.93 / $45.14	Professional	TC	$13.60	$23.93	$45.14
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $25.56 / $36.06 / $54.66	Professional		$25.56	$36.06	$54.66
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $12.55 / $16.80 / $21.80	Professional	26	$12.55	$16.80	$21.80
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $14.16 / $19.82 / $35.75	Professional	TC	$14.16	$19.82	$35.75