Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.29 / $60.01 / $80.70	Professional		$48.29	$60.01	$80.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.71 / $22.17 / $25.03	Professional	26	$20.71	$22.17	$25.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.52 / $34.97 / $57.97	Professional	TC	$27.52	$34.97	$57.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.29 / $56.47 / $86.48	Professional		$45.29	$56.47	$86.48
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.73 / $24.91 / $37.67	Professional	26	$19.73	$24.91	$37.67
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.55 / $31.56 / $48.79	Professional	TC	$25.55	$31.56	$48.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.99 / $62.50 / $111.06	Professional		$42.99	$62.50	$111.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.48 / $26.89 / $48.10	Professional	26	$18.48	$26.89	$48.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.67 / $35.61 / $67.70	Professional	TC	$25.67	$35.61	$67.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $33.70 / $57.34 / $137.30	Professional		$33.70	$57.34	$137.30
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $16.23 / $24.99 / $56.09	Professional	26	$16.23	$24.99	$56.09
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $22.05 / $33.64 / $82.85	Professional	TC	$22.05	$33.64	$82.85
United Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $63.55 / $112.75	Professional		$35.36	$63.55	$112.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.41 / $24.65 / $52.50	Professional	26	$15.41	$24.65	$52.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.03 / $35.49 / $64.54	Professional	TC	$20.03	$35.49	$64.54
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $56.66 / $81.56	Professional		$41.55	$56.66	$81.56
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $16.64 / $21.01 / $27.00	Professional	26	$16.64	$21.01	$27.00
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $21.11 / $29.55 / $49.77	Professional	TC	$21.11	$29.55	$49.77