Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.51 / $156.34 / $156.34	Facility	26	$62.51	$156.34	$156.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.32 / $154.52 / $540.62	Professional		$132.32	$154.52	$540.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.05 / $48.40 / $142.19	Professional	26	$43.05	$48.40	$142.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.27 / $106.12 / $398.42	Professional	TC	$89.27	$106.12	$398.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.00 / $281.75 / $488.06	Professional		$131.00	$281.75	$488.06
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.40 / $87.09 / $150.19	Professional	26	$41.40	$87.09	$150.19
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $89.60 / $188.46 / $325.04	Professional	TC	$89.60	$188.46	$325.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.26 / $270.33 / $421.54	Professional		$169.26	$270.33	$421.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.18 / $82.44 / $123.72	Professional	26	$53.18	$82.44	$123.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.33 / $190.77 / $312.20	Professional	TC	$120.33	$190.77	$312.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $147.38 / $249.70 / $494.02	Professional		$147.38	$249.70	$494.02
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $47.40 / $78.14 / $156.13	Professional	26	$47.40	$78.14	$156.13
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $102.57 / $177.43 / $316.58	Professional	TC	$102.57	$177.43	$316.58
United Facility/Professional Professional Modifier Low / Median / High Price $186.40 / $252.54 / $444.43	Professional		$186.40	$252.54	$444.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.68 / $72.34 / $140.11	Professional	26	$46.68	$72.34	$140.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $112.06 / $189.45 / $304.77	Professional	TC	$112.06	$189.45	$304.77
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $115.59 / $140.32 / $199.61	Professional		$115.59	$140.32	$199.61
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $34.71 / $43.04 / $56.94	Professional	26	$34.71	$43.04	$56.94
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $78.45 / $94.15 / $138.40	Professional	TC	$78.45	$94.15	$138.40