Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.10 / $159.44 / $159.44	Facility	26	$59.10	$159.44	$159.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.92 / $77.65 / $198.51	Professional		$66.92	$77.65	$198.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.47 / $48.07 / $87.76	Professional	26	$41.47	$48.07	$87.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.15 / $27.35 / $80.70	Professional	TC	$24.15	$27.35	$80.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.90 / $163.96 / $268.44	Professional		$79.90	$163.96	$268.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.14 / $80.31 / $136.96	Professional	26	$39.14	$80.31	$136.96
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.76 / $83.64 / $135.60	Professional	TC	$40.76	$83.64	$135.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.64 / $136.38 / $229.41	Professional		$97.64	$136.38	$229.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.04 / $75.19 / $109.56	Professional	26	$53.04	$75.19	$109.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.29 / $63.10 / $119.85	Professional	TC	$37.29	$63.10	$119.85
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $82.92 / $137.19 / $282.29	Professional		$82.92	$137.19	$282.29
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $44.81 / $70.41 / $138.31	Professional	26	$44.81	$70.41	$138.31
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $46.66 / $70.76 / $144.02	Professional	TC	$46.66	$70.76	$144.02
United Facility/Professional Professional Modifier Low / Median / High Price $86.14 / $121.03 / $260.68	Professional		$86.14	$121.03	$260.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.21 / $70.84 / $144.69	Professional	26	$46.21	$70.84	$144.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.53 / $55.34 / $115.99	Professional	TC	$36.53	$55.34	$115.99
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $60.63 / $72.76 / $106.95	Professional		$60.63	$72.76	$106.95
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $33.14 / $41.43 / $60.23	Professional	26	$33.14	$41.43	$60.23
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $24.43 / $31.61 / $44.26	Professional	TC	$24.43	$31.61	$44.26