Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $57.98 / $66.12	Professional		$50.37	$57.98	$66.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $9.13 / $11.23	Professional	26	$8.32	$9.13	$11.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.86 / $48.85 / $55.29	Professional	TC	$41.86	$48.85	$55.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.19 / $66.02 / $103.64	Professional		$41.19	$66.02	$103.64
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.86 / $10.80 / $15.89	Professional	26	$6.86	$10.80	$15.89
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.32 / $55.24 / $87.60	Professional	TC	$34.32	$55.24	$87.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.31 / $67.59 / $128.96	Professional		$38.31	$67.59	$128.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.05 / $11.15 / $20.36	Professional	26	$7.05	$11.15	$20.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.51 / $54.59 / $108.60	Professional	TC	$32.51	$54.59	$108.60
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $43.39 / $88.63 / $169.44	Professional		$43.39	$88.63	$169.44
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $14.14 / $27.03	Professional	26	$6.92	$14.14	$27.03
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $36.47 / $71.13 / $142.43	Professional	TC	$36.47	$71.13	$142.43
United Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $66.77 / $131.13	Professional		$34.95	$66.77	$131.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.71 / $11.70 / $22.35	Professional	26	$6.71	$11.70	$22.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.85 / $49.40 / $108.78	Professional	TC	$28.85	$49.40	$108.78
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $42.68 / $49.85 / $75.29	Professional		$42.68	$49.85	$75.29
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $7.07 / $8.48 / $11.32	Professional	26	$7.07	$8.48	$11.32
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $35.34 / $41.58 / $57.32	Professional	TC	$35.34	$41.58	$57.32