Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.05 / $106.82 / $147.29	Professional		$98.05	$106.82	$147.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.81 / $14.66 / $20.30	Professional	26	$13.81	$14.66	$20.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.86 / $92.64 / $126.99	Professional	TC	$83.86	$92.64	$126.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.04 / $147.43 / $253.06	Professional		$128.04	$147.43	$253.06
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.23 / $16.38 / $27.98	Professional	26	$14.23	$16.38	$27.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $112.82 / $131.05 / $225.09	Professional	TC	$112.82	$131.05	$225.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.81 / $145.06 / $368.89	Professional		$98.81	$145.06	$368.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.50 / $19.38 / $39.90	Professional	26	$14.50	$19.38	$39.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $128.99 / $328.98	Professional	TC	$87.10	$128.99	$328.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $105.43 / $199.02 / $415.37	Professional		$105.43	$199.02	$415.37
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.71 / $18.14 / $45.73	Professional	26	$11.71	$18.14	$45.73
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $93.72 / $149.90 / $365.91	Professional	TC	$93.72	$149.90	$365.91
United Facility/Professional Professional Modifier Low / Median / High Price $88.50 / $118.85 / $267.97	Professional		$88.50	$118.85	$267.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.42 / $17.45 / $36.08	Professional	26	$12.42	$17.45	$36.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.00 / $108.50 / $230.35	Professional	TC	$75.00	$108.50	$230.35
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $83.21 / $104.02 / $159.55	Professional		$83.21	$104.02	$159.55
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $11.71 / $14.05 / $18.78	Professional	26	$11.71	$14.05	$18.78
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $69.91 / $90.56 / $126.78	Professional	TC	$69.91	$90.56	$126.78