Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.96 / $113.48 / $113.48	Facility	26	$44.96	$113.48	$113.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.81 / $59.89 / $130.63	Professional		$48.81	$59.89	$130.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.65 / $34.83 / $62.60	Professional	26	$30.65	$34.83	$62.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.16 / $20.19 / $61.91	Professional	TC	$18.16	$20.19	$61.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.37 / $132.10 / $225.25	Professional		$64.37	$132.10	$225.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.76 / $61.07 / $102.25	Professional	26	$29.76	$61.07	$102.25
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.61 / $71.03 / $115.16	Professional	TC	$34.61	$71.03	$115.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $104.36 / $184.58	Professional		$74.59	$104.36	$184.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.34 / $55.53 / $82.40	Professional	26	$40.34	$55.53	$82.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.09 / $53.57 / $102.18	Professional	TC	$28.09	$53.57	$102.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $56.82 / $111.76 / $225.88	Professional		$56.82	$111.76	$225.88
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $33.39 / $49.45 / $95.64	Professional	26	$33.39	$49.45	$95.64
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $39.61 / $62.25 / $122.29	Professional	TC	$39.61	$62.25	$122.29
United Facility/Professional Professional Modifier Low / Median / High Price $63.63 / $92.26 / $180.34	Professional		$63.63	$92.26	$180.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.57 / $53.41 / $95.15	Professional	26	$33.57	$53.41	$95.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.26 / $42.08 / $85.19	Professional	TC	$28.26	$42.08	$85.19
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $48.12 / $56.57 / $84.88	Professional		$48.12	$56.57	$84.88
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $24.98 / $31.23 / $42.87	Professional	26	$24.98	$31.23	$42.87
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $26.61 / $37.26	Professional	TC	$18.20	$26.61	$37.26