Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $380.19 / $1,584.89	Facility		$123.03	$380.19	$1,584.89
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $53.70 / $69.18	Facility	26	$21.88	$53.70	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $380.19	Professional		$107.15	$138.04	$380.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $30.20 / $87.10	Professional	26	$21.88	$30.20	$87.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $107.15 / $257.04	Professional	TC	$85.11	$107.15	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $134.90 / $190.55	Professional		$117.49	$134.90	$190.55
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $25.70 / $36.31	Professional	26	$22.91	$25.70	$36.31
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $107.15 / $147.91	Professional	TC	$93.33	$107.15	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $645.65 / $794.33	Facility		$316.23	$645.65	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $354.81	Professional		$131.83	$208.93	$354.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $35.48 / $60.26	Professional	26	$25.12	$35.48	$60.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $173.78 / $302.00	Professional	TC	$107.15	$173.78	$302.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $323.59	Professional		$138.04	$213.80	$323.59
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $41.69 / $61.66	Professional	26	$26.92	$41.69	$61.66
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $169.82 / $251.19	Professional	TC	$112.20	$169.82	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $208.93 / $389.05	Professional		$128.82	$208.93	$389.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $38.90 / $70.79	Professional	26	$25.12	$38.90	$70.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $173.78 / $288.40	Professional	TC	$102.33	$173.78	$288.40