Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.02 / $46.79 / $46.79	Facility	26	$21.02	$46.79	$46.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.06 / $28.39 / $46.35	Professional		$27.06	$28.39	$46.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.75 / $14.83 / $17.50	Professional	26	$13.75	$14.83	$17.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.43 / $13.01 / $32.83	Professional	TC	$12.43	$13.01	$32.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.02 / $88.29 / $150.55	Professional		$43.02	$88.29	$150.55
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.91 / $28.54 / $47.82	Professional	26	$13.91	$28.54	$47.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.11 / $59.74 / $96.85	Professional	TC	$29.11	$59.74	$96.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.46 / $66.05 / $124.45	Professional		$41.46	$66.05	$124.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.85 / $26.23 / $38.95	Professional	26	$17.85	$26.23	$38.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.38 / $45.05 / $86.37	Professional	TC	$18.38	$45.05	$86.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $41.86 / $74.69 / $152.01	Professional		$41.86	$74.69	$152.01
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $15.64 / $23.57 / $45.10	Professional	26	$15.64	$23.57	$45.10
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $32.75 / $52.37 / $102.87	Professional	TC	$32.75	$52.37	$102.87
United Facility/Professional Professional Modifier Low / Median / High Price $36.01 / $59.32 / $120.08	Professional		$36.01	$59.32	$120.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.07 / $23.36 / $38.50	Professional	26	$16.07	$23.36	$38.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.22 / $36.82 / $86.15	Professional	TC	$19.22	$36.82	$86.15
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $37.04 / $56.82	Professional		$21.01	$37.04	$56.82
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $11.88 / $14.09 / $18.71	Professional	26	$11.88	$14.09	$18.71
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $11.96 / $23.28 / $32.58	Professional	TC	$11.96	$23.28	$32.58