Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.00 / $52.60 / $52.60	Facility	26	$20.00	$52.60	$52.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.61 / $54.66 / $66.05	Professional		$45.61	$54.66	$66.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.73 / $15.21 / $17.45	Professional	26	$13.73	$15.21	$17.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.43 / $39.86 / $48.60	Professional	TC	$31.43	$39.86	$48.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $83.93 / $145.50	Professional		$40.11	$83.93	$145.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.26 / $27.22 / $46.42	Professional	26	$13.26	$27.22	$46.42
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.69 / $55.10 / $94.18	Professional	TC	$40.69	$55.10	$94.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.25 / $87.28 / $123.40	Professional		$55.25	$87.28	$123.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.94 / $25.60 / $37.99	Professional	26	$17.94	$25.60	$37.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.42 / $60.89 / $88.34	Professional	TC	$37.42	$60.89	$88.34
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $39.03 / $71.00 / $151.27	Professional		$39.03	$71.00	$151.27
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $14.92 / $22.47 / $46.85	Professional	26	$14.92	$22.47	$46.85
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $30.73 / $48.29 / $94.85	Professional	TC	$30.73	$48.29	$94.85
United Facility/Professional Professional Modifier Low / Median / High Price $54.39 / $84.30 / $140.76	Professional		$54.39	$84.30	$140.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.68 / $24.95 / $50.95	Professional	26	$15.68	$24.95	$50.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.89 / $61.56 / $109.71	Professional	TC	$40.89	$61.56	$109.71
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $44.76 / $51.83 / $73.14	Professional		$44.76	$51.83	$73.14
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $11.66 / $14.58 / $19.86	Professional	26	$11.66	$14.58	$19.86
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $29.81 / $35.77 / $52.58	Professional	TC	$29.81	$35.77	$52.58