Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.70 / $46.77	Professional		$19.50	$25.70	$46.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $19.95 / $25.70	Professional	26	$15.85	$19.95	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.00 / $3.98 / $25.70	Professional	TC	$2.00	$3.98	$25.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $37.15 / $70.79	Professional		$24.55	$37.15	$70.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $30.20 / $58.88	Professional	26	$20.42	$30.20	$58.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $4.37 / $6.92 / $12.30	Professional	TC	$4.37	$6.92	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $46.77 / $81.28	Professional		$25.70	$46.77	$81.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $28.18 / $56.23	Professional	26	$17.38	$28.18	$56.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $4.57 / $8.32 / $47.86	Professional	TC	$4.57	$8.32	$47.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $32.36 / $77.62	Professional		$20.42	$32.36	$77.62
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $24.55 / $51.29	Professional	26	$16.60	$24.55	$51.29
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $3.55 / $5.37 / $13.49	Professional	TC	$3.55	$5.37	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $37.15 / $83.18	Professional		$20.89	$37.15	$83.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $24.55 / $50.12	Professional	26	$17.38	$24.55	$50.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.47 / $6.17 / $38.90	Professional	TC	$3.47	$6.17	$38.90
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77