Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.09 / $38.52 / $53.64	Professional		$25.09	$38.52	$53.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.12 / $23.07 / $34.36	Professional	26	$16.12	$23.07	$34.36
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.55 / $19.26 / $26.82	Professional	52	$12.55	$19.26	$26.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1.32 / $5.03 / $35.79	Professional	TC	$1.32	$5.03	$35.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.82 / $32.02 / $54.68	Professional		$27.82	$32.02	$54.68
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.94 / $27.55 / $46.41	Professional	26	$23.94	$27.55	$46.41
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.88 / $4.58 / $8.26	Professional	TC	$3.88	$4.58	$8.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.13 / $41.13 / $83.92	Professional		$30.13	$41.13	$83.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.48 / $27.14 / $66.30	Professional	26	$19.48	$27.14	$66.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $4.25 / $6.36 / $55.17	Professional	TC	$4.25	$6.36	$55.17
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $22.90 / $35.22 / $90.22	Professional		$22.90	$35.22	$90.22
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $19.70 / $31.51 / $76.91	Professional	26	$19.70	$31.51	$76.91
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $3.20 / $4.95 / $12.46	Professional	TC	$3.20	$4.95	$12.46
United Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $43.06 / $87.20	Professional		$22.74	$43.06	$87.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.98 / $28.96 / $70.79	Professional	26	$18.98	$28.96	$70.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.27 / $5.83 / $47.98	Professional	TC	$3.27	$5.83	$47.98
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $25.39 / $39.61 / $56.23	Professional		$25.39	$39.61	$56.23
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $15.28 / $20.58 / $29.46	Professional	26	$15.28	$20.58	$29.46
Well Sense Facility/Professional Professional Modifier 52 Low / Median / High Price $11.89 / $14.27 / $16.05	Professional	52	$11.89	$14.27	$16.05
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $3.43 / $4.80 / $39.04	Professional	TC	$3.43	$4.80	$39.04