Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.57 / $17.57 / $17.57	Facility	26	$17.57	$17.57	$17.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $41.15 / $47.22	Professional		$35.74	$41.15	$47.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.78 / $12.17 / $13.58	Professional	26	$10.78	$12.17	$13.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.95 / $29.30 / $33.64	Professional	TC	$24.95	$29.30	$33.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.02 / $70.18 / $113.78	Professional		$43.02	$70.18	$113.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.64 / $19.00 / $29.64	Professional	26	$11.64	$19.00	$29.64
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.38 / $51.19 / $79.86	Professional	TC	$31.38	$51.19	$79.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.40 / $64.58 / $122.08	Professional		$48.40	$64.58	$122.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.86 / $19.32 / $32.56	Professional	26	$13.86	$19.32	$32.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.86 / $46.70 / $85.54	Professional	TC	$34.86	$46.70	$85.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $49.25 / $77.39 / $152.01	Professional		$49.25	$77.39	$152.01
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $13.33 / $20.22 / $41.14	Professional	26	$13.33	$20.22	$41.14
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $35.92 / $53.88 / $100.83	Professional	TC	$35.92	$53.88	$100.83
United Facility/Professional Professional Modifier Low / Median / High Price $42.81 / $63.58 / $139.10	Professional		$42.81	$63.58	$139.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.33 / $19.68 / $37.33	Professional	26	$13.33	$19.68	$37.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.69 / $45.87 / $81.93	Professional	TC	$29.69	$45.87	$81.93
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $35.86 / $45.64	Professional		$32.60	$35.86	$45.64
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $9.68 / $10.73 / $13.65	Professional	26	$9.68	$10.73	$13.65
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $22.69 / $25.14 / $31.99	Professional	TC	$22.69	$25.14	$31.99