Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $170.22 / $170.22 / $170.22	Facility	26	$170.22	$170.22	$170.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $342.31 / $401.04 / $533.19	Professional	TC	$342.31	$401.04	$533.19
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $422.45 / $615.26 / $913.81	Professional	TC	$422.45	$615.26	$913.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $506.48 / $665.35 / $1,308.33	Professional	TC	$506.48	$665.35	$1,308.33
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $483.61 / $795.54 / $1,492.66	Professional	TC	$483.61	$795.54	$1,492.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $493.89 / $725.42 / $1,407.71	Professional	TC	$493.89	$725.42	$1,407.71
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $328.68 / $364.17 / $463.48	Professional	TC	$328.68	$364.17	$463.48