Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.32 / $13.10 / $31.04	Facility	26	$8.32	$13.10	$31.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $29.09 / $79.98	Professional		$21.52	$29.09	$79.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.23 / $7.79 / $21.62	Professional	26	$6.23	$7.79	$21.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.29 / $20.77 / $58.37	Professional	TC	$15.29	$20.77	$58.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $77.87 / $77.87	Professional		$24.62	$77.87	$77.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $16.23 / $41.67	Professional	26	$10.11	$16.23	$41.67
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $25.87 / $116.81 / $116.81	Professional	50	$25.87	$116.81	$116.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $47.02 / $66.48	Professional		$32.02	$47.02	$66.48
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $12.35 / $17.46	Professional	26	$8.41	$12.35	$17.46
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $48.03 / $70.53 / $99.74	Professional	50	$48.03	$70.53	$99.74
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.61 / $34.67 / $48.94	Professional	TC	$23.61	$34.67	$48.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.35 / $54.74 / $99.94	Professional		$39.35	$54.74	$99.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.18 / $17.22 / $24.98	Professional	26	$10.18	$17.22	$24.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.39 / $40.13 / $74.79	Professional	TC	$27.39	$40.13	$74.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $60.31 / $120.76	Professional		$27.03	$60.31	$120.76
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.63 / $15.88 / $31.72	Professional	26	$9.63	$15.88	$31.72
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $27.03 / $48.04 / $89.04	Professional	TC	$27.03	$48.04	$89.04
United Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $40.27 / $75.95	Professional		$28.55	$40.27	$75.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.44 / $11.17 / $22.76	Professional	26	$8.44	$11.17	$22.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.45 / $31.04 / $103.87	Professional	TC	$21.45	$31.04	$103.87
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $28.86 / $43.59	Professional		$24.40	$28.86	$43.59
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $6.44 / $7.73 / $10.45	Professional	26	$6.44	$7.73	$10.45
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $17.28 / $21.27 / $29.32	Professional	TC	$17.28	$21.27	$29.32