Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.71 / $24.20 / $46.90	Facility	26	$12.71	$24.20	$46.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $43.10 / $119.81	Professional		$32.54	$43.10	$119.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.97 / $11.21 / $33.04	Professional	26	$9.97	$11.21	$33.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $30.87 / $86.76	Professional	TC	$22.57	$30.87	$86.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.53 / $9.78 / $28.25	Professional	26	$9.53	$9.78	$28.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.29 / $66.48 / $94.03	Professional		$45.29	$66.48	$94.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.97 / $17.57 / $24.84	Professional	26	$11.97	$17.57	$24.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.32 / $48.91 / $69.13	Professional	TC	$33.32	$48.91	$69.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.67 / $90.41 / $144.94	Professional		$58.67	$90.41	$144.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.56 / $25.06 / $37.04	Professional	26	$15.56	$25.06	$37.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.67 / $63.93 / $107.89	Professional	TC	$43.67	$63.93	$107.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $92.13 / $170.77	Professional		$51.84	$92.13	$170.77
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $13.70 / $22.58 / $42.28	Professional	26	$13.70	$22.58	$42.28
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $38.14 / $67.78 / $125.64	Professional	TC	$38.14	$67.78	$125.64
United Facility/Professional Professional Modifier Low / Median / High Price $46.56 / $59.70 / $112.75	Professional		$46.56	$59.70	$112.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.26 / $17.80 / $35.99	Professional	26	$12.26	$17.80	$35.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.85 / $42.46 / $73.18	Professional	TC	$32.85	$42.46	$73.18
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $42.82 / $64.67	Professional		$36.40	$42.82	$64.67
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $10.26 / $12.07 / $16.63	Professional	26	$10.26	$12.07	$16.63
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $25.02 / $30.75 / $42.39	Professional	TC	$25.02	$30.75	$42.39