Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.57 / $33.65 / $33.65	Facility	26	$13.57	$33.65	$33.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.80 / $38.02	Professional		$22.91	$30.80	$38.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.90 / $9.08 / $12.60	Professional	26	$7.90	$9.08	$12.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.93 / $21.12 / $27.19	Professional	TC	$14.93	$21.12	$27.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.49 / $7.49 / $7.49	Professional	26	$7.49	$7.49	$7.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $45.59 / $64.47	Professional		$31.05	$45.59	$64.47
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $13.77 / $19.47	Professional	26	$9.38	$13.77	$19.47
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.67 / $31.82 / $44.99	Professional	TC	$21.67	$31.82	$44.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $65.53 / $97.85	Professional		$40.47	$65.53	$97.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.78 / $19.42 / $28.03	Professional	26	$11.78	$19.42	$28.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.07 / $45.63 / $69.81	Professional	TC	$29.07	$45.63	$69.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $58.60 / $117.11	Professional		$35.54	$58.60	$117.11
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.74 / $16.89 / $33.15	Professional	26	$10.74	$16.89	$33.15
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $24.81 / $44.00 / $81.73	Professional	TC	$24.81	$44.00	$81.73
United Facility/Professional Professional Modifier Low / Median / High Price $33.93 / $40.69 / $78.73	Professional		$33.93	$40.69	$78.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.46 / $13.05 / $26.87	Professional	26	$9.46	$13.05	$26.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.16 / $28.04 / $49.99	Professional	TC	$22.16	$28.04	$49.99
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $29.14 / $44.01	Professional		$24.95	$29.14	$44.01
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $7.84 / $9.39 / $12.70	Professional	26	$7.84	$9.39	$12.70
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $16.94 / $19.93 / $27.46	Professional	TC	$16.94	$19.93	$27.46