Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.38 / $99.63 / $141.74	Professional		$94.38	$99.63	$141.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.69 / $76.30 / $109.45	Professional	26	$74.69	$76.30	$109.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.61 / $23.40 / $32.83	Professional	TC	$19.61	$23.40	$32.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.57 / $116.90 / $203.47	Professional		$101.57	$116.90	$203.47
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.43 / $85.77 / $144.33	Professional	26	$73.43	$85.77	$144.33
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.14 / $34.26 / $57.25	Professional	TC	$28.14	$34.26	$57.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.79 / $135.88 / $292.64	Professional		$92.79	$135.88	$292.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.23 / $100.15 / $206.28	Professional	26	$75.23	$100.15	$206.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.00 / $35.51 / $86.37	Professional	TC	$25.00	$35.51	$86.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $83.60 / $128.61 / $326.38	Professional		$83.60	$128.61	$326.38
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $60.44 / $93.57 / $235.96	Professional	26	$60.44	$93.57	$235.96
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $23.17 / $35.64 / $80.01	Professional	TC	$23.17	$35.64	$80.01
United Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $122.03 / $261.25	Professional		$82.28	$122.03	$261.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.84 / $92.47 / $162.71	Professional	26	$66.84	$92.47	$162.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.38 / $31.32 / $58.47	Professional	TC	$18.38	$31.32	$58.47
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $84.16 / $98.58 / $148.46	Professional		$84.16	$98.58	$148.46
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $61.59 / $73.91 / $99.15	Professional	26	$61.59	$73.91	$99.15
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $16.73 / $25.94 / $36.32	Professional	TC	$16.73	$25.94	$36.32