Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.11 / $85.60 / $85.60	Facility	26	$39.11	$85.60	$85.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.04 / $156.53 / $178.41	Professional		$127.04	$156.53	$178.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $103.46 / $131.38 / $149.38	Professional	TC	$103.46	$131.38	$149.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.11 / $249.21 / $388.76	Professional		$171.11	$249.21	$388.76
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $145.04 / $211.52 / $314.16	Professional	TC	$145.04	$211.52	$314.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $264.50 / $506.33	Professional		$120.23	$264.50	$506.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.83 / $218.16 / $433.82	Professional	TC	$100.83	$218.16	$433.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $195.89 / $322.92 / $604.61	Professional		$195.89	$322.92	$604.61
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $166.26 / $261.56 / $470.95	Professional	TC	$166.26	$261.56	$470.95
United Facility/Professional Professional Modifier Low / Median / High Price $100.95 / $201.57 / $455.21	Professional		$100.95	$201.57	$455.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $114.79 / $194.88 / $366.90	Professional	TC	$114.79	$194.88	$366.90
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $107.14 / $117.85 / $150.00	Professional		$107.14	$117.85	$150.00
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $85.62 / $94.86 / $120.74	Professional	TC	$85.62	$94.86	$120.74