Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $812.83 / $1,318.26	Facility		$549.54	$812.83	$1,318.26
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 $60.26 / $87.10 / $407.38	Professional		$60.26	$87.10	$407.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $45.71 / $104.71	Professional	26	$30.20	$45.71	$104.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $37.15 / $169.82	Professional	TC	$25.12	$37.15	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $114.82 / $181.97	Professional		$66.07	$114.82	$181.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $63.10 / $104.71	Professional	26	$37.15	$63.10	$104.71
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $47.86 / $79.43	Professional	TC	$29.51	$47.86	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $134.90 / $354.81	Professional		$75.86	$134.90	$354.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $77.62 / $154.88	Professional	26	$42.66	$77.62	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $61.66 / $213.80	Professional	TC	$33.88	$61.66	$213.80
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $102.33 / $177.83	Professional		$43.65	$102.33	$177.83
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $67.61 / $102.33	Professional	26	$43.65	$67.61	$102.33
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $51.29 / $81.28	Professional	TC	$32.36	$51.29	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $288.40	Professional		$77.62	$120.23	$288.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $64.57 / $112.20	Professional	26	$42.66	$64.57	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $51.29 / $165.96	Professional	TC	$33.88	$51.29	$165.96
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $22.91 / $26.92	Facility	26	$22.91	$22.91	$26.92