Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.12 / $186.89 / $186.89	Facility	26	$80.12	$186.89	$186.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.79 / $92.94 / $200.00	Professional		$79.79	$92.94	$200.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.90 / $60.83 / $112.05	Professional	26	$54.90	$60.83	$112.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.90 / $28.10 / $79.55	Professional	TC	$24.90	$28.10	$79.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.48 / $191.84 / $325.64	Professional		$93.48	$191.84	$325.64
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.05 / $108.86 / $182.26	Professional	26	$53.05	$108.86	$182.26
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.43 / $82.98 / $134.53	Professional	TC	$40.43	$82.98	$134.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.43 / $157.28 / $266.50	Professional		$113.43	$157.28	$266.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.43 / $99.46 / $147.59	Professional	26	$69.43	$99.46	$147.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.45 / $62.60 / $118.92	Professional	TC	$38.45	$62.60	$118.92
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $100.92 / $165.47 / $330.32	Professional		$100.92	$165.47	$330.32
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $60.73 / $95.42 / $187.44	Professional	26	$60.73	$95.42	$187.44
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $46.29 / $71.56 / $142.87	Professional	TC	$46.29	$71.56	$142.87
United Facility/Professional Professional Modifier Low / Median / High Price $95.91 / $140.41 / $240.93	Professional		$95.91	$140.41	$240.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.75 / $91.60 / $146.82	Professional	26	$51.75	$91.60	$146.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.33 / $51.53 / $107.50	Professional	TC	$35.33	$51.53	$107.50
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $72.26 / $86.71 / $127.47	Professional		$72.26	$86.71	$127.47
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $45.06 / $55.96 / $72.54	Professional	26	$45.06	$55.96	$72.54
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $25.16 / $31.46 / $43.79	Professional	TC	$25.16	$31.46	$43.79