Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $27.08 / $45.59	Facility	26	$12.02	$27.08	$45.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.67 / $40.11 / $110.17	Professional		$29.67	$40.11	$110.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.43 / $10.60 / $31.21	Professional	26	$9.43	$10.60	$31.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.23 / $28.08 / $78.95	Professional	TC	$20.23	$28.08	$78.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.06 / $103.06 / $103.06	Professional		$103.06	$103.06	$103.06
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $15.00 / $27.47	Professional	26	$9.27	$15.00	$27.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.37 / $62.21 / $87.97	Professional		$42.37	$62.21	$87.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.64 / $17.10 / $24.18	Professional	26	$11.64	$17.10	$24.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.73 / $45.12 / $63.69	Professional	TC	$30.73	$45.12	$63.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.11 / $78.48 / $133.66	Professional		$54.11	$78.48	$133.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.96 / $23.72 / $35.03	Professional	26	$14.96	$23.72	$35.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.42 / $54.20 / $98.63	Professional	TC	$38.42	$54.20	$98.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $85.20 / $159.80	Professional		$48.51	$85.20	$159.80
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $13.33 / $22.34 / $43.91	Professional	26	$13.33	$22.34	$43.91
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $35.18 / $62.52 / $115.89	Professional	TC	$35.18	$62.52	$115.89
United Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $53.20 / $104.16	Professional		$40.50	$53.20	$104.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.90 / $16.32 / $31.52	Professional	26	$11.90	$16.32	$31.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.96 / $38.74 / $65.78	Professional	TC	$29.96	$38.74	$65.78
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $33.21 / $39.47 / $59.61	Professional		$33.21	$39.47	$59.61
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $9.71 / $11.52 / $15.74	Professional	26	$9.71	$11.52	$15.74
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $22.45 / $28.04 / $38.65	Professional	TC	$22.45	$28.04	$38.65