Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $34.21 / $53.31	Professional		$21.35	$34.21	$53.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.35 / $20.65 / $29.03	Professional	26	$19.35	$20.65	$29.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1.32 / $5.17 / $31.88	Professional	TC	$1.32	$5.17	$31.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $27.92 / $49.35	Professional		$24.26	$27.92	$49.35
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.05 / $23.08 / $39.42	Professional	26	$20.05	$23.08	$39.42
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $4.21 / $4.96 / $8.27	Professional	TC	$4.21	$4.96	$8.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.29 / $37.54 / $81.59	Professional		$26.29	$37.54	$81.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.14 / $27.34 / $56.32	Professional	26	$20.14	$27.34	$56.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $4.61 / $6.90 / $47.41	Professional	TC	$4.61	$6.90	$47.41
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $32.27 / $78.66	Professional		$19.97	$32.27	$78.66
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $16.51 / $25.56 / $65.04	Professional	26	$16.51	$25.56	$65.04
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $3.46 / $5.36 / $12.74	Professional	TC	$3.46	$5.36	$12.74
United Facility/Professional Professional Modifier Low / Median / High Price $20.76 / $34.36 / $75.70	Professional		$20.76	$34.36	$75.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.52 / $24.13 / $41.69	Professional	26	$16.52	$24.13	$41.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.58 / $5.84 / $44.09	Professional	TC	$3.58	$5.84	$44.09
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $37.50 / $60.62	Professional		$21.78	$37.50	$60.62
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $16.23 / $19.63 / $26.29	Professional	26	$16.23	$19.63	$26.29
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $3.43 / $4.80 / $34.09	Professional	TC	$3.43	$4.80	$34.09