Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.10 / $32.34 / $32.34	Facility	26	$13.10	$32.34	$32.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $33.60 / $89.57	Professional		$25.85	$33.60	$89.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.77 / $7.92 / $23.43	Professional	26	$6.77	$7.92	$23.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.07 / $24.60 / $64.77	Professional	TC	$19.07	$24.60	$64.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $6.74 / $6.74	Professional	26	$6.74	$6.74	$6.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.52 / $55.09 / $77.90	Professional		$37.52	$55.09	$77.90
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 TC Low / Median / High Price $29.11 / $42.74 / $60.33	Professional	TC	$29.11	$42.74	$60.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $63.96 / $119.49	Professional		$45.77	$63.96	$119.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.79 / $17.48 / $26.00	Professional	26	$10.79	$17.48	$26.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.13 / $49.98 / $93.48	Professional	TC	$34.13	$49.98	$93.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $75.43 / $141.47	Professional		$42.95	$75.43	$141.47
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.63 / $16.66 / $31.72	Professional	26	$9.63	$16.66	$31.72
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $33.33 / $59.23 / $109.79	Professional	TC	$33.33	$59.23	$109.79
United Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $49.95 / $89.62	Professional		$33.97	$49.95	$89.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $12.33 / $23.22	Professional	26	$9.19	$12.33	$23.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.16 / $36.13 / $65.98	Professional	TC	$25.16	$36.13	$65.98
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $34.25 / $51.72	Professional		$28.90	$34.25	$51.72
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $7.00 / $8.39 / $11.35	Professional	26	$7.00	$8.39	$11.35
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $21.13 / $26.01 / $35.85	Professional	TC	$21.13	$26.01	$35.85