Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.14 / $92.88 / $92.88	Facility	26	$36.14	$92.88	$92.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.56 / $51.99 / $117.10	Professional		$41.56	$51.99	$117.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.91 / $27.76 / $50.88	Professional	26	$23.91	$27.76	$50.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.67 / $18.67 / $51.11	Professional	TC	$16.67	$18.67	$51.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.93 / $116.83 / $199.22	Professional		$56.93	$116.83	$199.22
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.94 / $49.12 / $82.16	Professional	26	$23.94	$49.12	$82.16
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.99 / $67.70 / $109.77	Professional	TC	$32.99	$67.70	$109.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.30 / $92.35 / $164.51	Professional		$64.30	$92.35	$164.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.43 / $45.14 / $66.98	Professional	26	$32.43	$45.14	$66.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.04 / $51.07 / $97.53	Professional	TC	$26.04	$51.07	$97.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $45.62 / $96.48 / $201.15	Professional		$45.62	$96.48	$201.15
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $26.93 / $43.05 / $84.57	Professional	26	$26.93	$43.05	$84.57
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $37.77 / $57.28 / $116.58	Professional	TC	$37.77	$57.28	$116.58
United Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $81.65 / $182.96	Professional		$56.28	$81.65	$182.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.32 / $42.42 / $83.99	Professional	26	$24.32	$42.42	$83.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.41 / $40.51 / $83.66	Professional	TC	$26.41	$40.51	$83.66
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $42.64 / $49.80 / $75.22	Professional		$42.64	$49.80	$75.22
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $20.37 / $25.46 / $35.18	Professional	26	$20.37	$25.46	$35.18
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $16.73 / $25.61 / $35.85	Professional	TC	$16.73	$25.61	$35.85