Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.97 / $203.41 / $203.41	Facility	26	$85.97	$203.41	$203.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.92 / $183.26 / $553.94	Professional		$119.92	$183.26	$553.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.97 / $63.86 / $185.28	Professional	26	$57.97	$63.86	$185.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.95 / $119.40 / $367.25	Professional	TC	$61.95	$119.40	$367.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.21 / $128.44 / $223.18	Professional		$113.21	$128.44	$223.18
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.93 / $64.59 / $103.88	Professional	26	$56.93	$64.59	$103.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.28 / $63.86 / $111.26	Professional	TC	$56.28	$63.86	$111.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.29 / $227.13 / $379.54	Professional		$132.29	$227.13	$379.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.67 / $103.93 / $158.15	Professional	26	$65.67	$103.93	$158.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.63 / $119.79 / $233.70	Professional	TC	$66.63	$119.79	$233.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $129.61 / $224.20 / $426.95	Professional		$129.61	$224.20	$426.95
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $65.17 / $114.46 / $214.68	Professional	26	$65.17	$114.46	$214.68
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $64.43 / $107.97 / $212.24	Professional	TC	$64.43	$107.97	$212.24
United Facility/Professional Professional Modifier Low / Median / High Price $138.49 / $244.84 / $419.61	Professional		$138.49	$244.84	$419.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.06 / $102.10 / $207.33	Professional	26	$69.06	$102.10	$207.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $68.84 / $120.01 / $208.86	Professional	TC	$68.84	$120.01	$208.86
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $105.98 / $133.38 / $183.60	Professional		$105.98	$133.38	$183.60
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $47.43 / $57.71 / $76.36	Professional	26	$47.43	$57.71	$76.36
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $49.52 / $61.40 / $107.32	Professional	TC	$49.52	$61.40	$107.32