Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.76 / $66.22 / $66.22	Facility	26	$29.76	$66.22	$66.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.19 / $32.64 / $92.90	Professional		$30.19	$32.64	$92.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.55 / $21.08 / $42.02	Professional	26	$19.55	$21.08	$42.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.93 / $10.75 / $34.22	Professional	TC	$9.93	$10.75	$34.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.46 / $103.55 / $176.58	Professional		$50.46	$103.55	$176.58
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.73 / $40.49 / $68.79	Professional	26	$19.73	$40.49	$68.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.73 / $63.06 / $102.24	Professional	TC	$30.73	$63.06	$102.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.23 / $77.30 / $146.19	Professional		$47.23	$77.30	$146.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.25 / $37.18 / $55.17	Professional	26	$25.25	$37.18	$55.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.44 / $47.56 / $91.02	Professional	TC	$15.44	$47.56	$91.02
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $86.66 / $178.31	Professional		$49.10	$86.66	$178.31
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $22.20 / $33.44 / $68.31	Professional	26	$22.20	$33.44	$68.31
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $35.18 / $55.28 / $108.58	Professional	TC	$35.18	$55.28	$108.58
United Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $64.58 / $133.94	Professional		$38.79	$64.58	$133.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.62 / $33.81 / $69.25	Professional	26	$22.62	$33.81	$69.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.59 / $37.88 / $87.92	Professional	TC	$16.59	$37.88	$87.92
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $43.30 / $66.41	Professional		$28.90	$43.30	$66.41
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $16.70 / $19.85 / $26.58	Professional	26	$16.70	$19.85	$26.58
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $9.77 / $23.94 / $33.52	Professional	TC	$9.77	$23.94	$33.52