Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.64 / $35.64 / $35.64	Facility	26	$35.64	$35.64	$35.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.17 / $10.19 / $12.07	Professional	26	$9.17	$10.19	$12.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.77 / $15.59 / $18.97	Professional	TC	$14.77	$15.59	$18.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.61 / $48.46 / $78.56	Professional	26	$23.61	$48.46	$78.56
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.00 / $71.03 / $115.16	Professional	TC	$28.00	$71.03	$115.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.58 / $44.25 / $66.06	Professional	26	$29.58	$44.25	$66.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.92 / $67.20 / $100.32	Professional	TC	$44.92	$67.20	$100.32
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $26.56 / $40.99 / $81.73	Professional	26	$26.56	$40.99	$81.73
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $39.61 / $60.09 / $122.29	Professional	TC	$39.61	$60.09	$122.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.17 / $49.27 / $59.87	Professional	26	$28.17	$49.27	$59.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.83 / $73.97 / $83.02	Professional	TC	$43.83	$73.97	$83.02