Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $309.03 / $309.03 / $309.03	Facility	26	$309.03	$309.03	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $446.68	Professional		$239.88	$281.84	$446.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $100.00 / $144.54	Professional	26	$89.13	$100.00	$144.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $181.97 / $302.00	Professional	TC	$144.54	$181.97	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $741.31	Professional		$309.03	$478.63	$741.31
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $154.88 / $257.04	Professional	26	$102.33	$154.88	$257.04
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $302.00 / $489.78	Professional	TC	$208.93	$302.00	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $501.19 / $933.25	Professional		$234.42	$501.19	$933.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $177.83 / $338.84	Professional	26	$114.82	$177.83	$338.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $323.59 / $691.83	Professional	TC	$128.82	$323.59	$691.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $812.83	Professional		$338.84	$512.86	$812.83
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $165.96 / $269.15	Professional	26	$112.20	$165.96	$269.15
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $346.74 / $549.54	Professional	TC	$229.09	$346.74	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $416.87 / $812.83	Professional		$269.15	$416.87	$812.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $162.18 / $288.40	Professional	26	$112.20	$162.18	$288.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $257.04 / $524.81	Professional	TC	$169.82	$257.04	$524.81
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $63.10 / $74.13	Facility	26	$63.10	$63.10	$74.13