Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.23 / $166.64 / $166.64	Facility	26	$81.23	$166.64	$166.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.31 / $383.86 / $582.29	Professional		$316.31	$383.86	$582.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.79 / $328.81 / $508.70	Professional	TC	$263.79	$328.81	$508.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $404.65 / $589.35 / $921.35	Professional		$404.65	$589.35	$921.35
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $350.96 / $511.14 / $759.16	Professional	TC	$350.96	$511.14	$759.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.29 / $607.92 / $1,260.24	Professional		$334.29	$607.92	$1,260.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $262.83 / $526.46 / $1,095.61	Professional	TC	$262.83	$526.46	$1,095.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $463.25 / $763.67 / $1,429.82	Professional		$463.25	$763.67	$1,429.82
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $401.78 / $660.93 / $1,240.08	Professional	TC	$401.78	$660.93	$1,240.08
United Facility/Professional Professional Modifier Low / Median / High Price $323.19 / $581.28 / $1,360.03	Professional		$323.19	$581.28	$1,360.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $293.70 / $496.85 / $1,153.09	Professional	TC	$293.70	$496.85	$1,153.09
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $318.33 / $350.16 / $445.66	Professional		$318.33	$350.16	$445.66
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $271.41 / $300.72 / $382.73	Professional	TC	$271.41	$300.72	$382.73