Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.87 / $16.52 / $16.52	Facility	26	$3.87	$16.52	$16.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.62 / $25.05 / $29.10	Professional		$16.62	$25.05	$29.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.98 / $5.30 / $6.00	Professional	26	$2.98	$5.30	$6.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.40 / $19.69 / $23.10	Professional	TC	$13.40	$19.69	$23.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $23.75 / $38.51	Professional		$14.56	$23.75	$38.51
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $2.59 / $4.22 / $7.46	Professional	26	$2.59	$4.22	$7.46
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.97 / $19.52 / $31.65	Professional	TC	$11.97	$19.52	$31.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.94 / $29.64 / $46.72	Professional		$17.94	$29.64	$46.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.10 / $6.20 / $10.11	Professional	26	$3.10	$6.20	$10.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.84 / $24.01 / $38.46	Professional	TC	$14.84	$24.01	$38.46
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $16.66 / $27.46 / $54.88	Professional		$16.66	$27.46	$54.88
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $2.96 / $4.58 / $9.14	Professional	26	$2.96	$4.58	$9.14
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $13.70 / $21.53 / $42.28	Professional	TC	$13.70	$21.53	$42.28
United Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $33.00 / $63.55	Professional		$21.31	$33.00	$63.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.45 / $6.71 / $13.58	Professional	26	$4.45	$6.71	$13.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.05 / $27.23 / $54.12	Professional	TC	$18.05	$27.23	$54.12
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $21.86 / $33.64	Professional		$18.22	$21.86	$33.64
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $3.60 / $4.55 / $6.27	Professional	26	$3.60	$4.55	$6.27
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $14.35 / $17.20 / $25.49	Professional	TC	$14.35	$17.20	$25.49