Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $23.99 / $46.77	Facility	26	$12.59	$23.99	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $47.86 / $123.03	Professional		$34.67	$47.86	$123.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $16.60 / $39.81	Professional	26	$10.00	$16.60	$39.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $33.88 / $87.10	Professional	TC	$25.12	$33.88	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $18.20 / $18.20	Professional	26	$18.20	$18.20	$18.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $72.44 / $95.50	Professional		$46.77	$72.44	$95.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $19.05 / $27.54	Professional	26	$12.30	$19.05	$27.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $53.70 / $70.79	Professional	TC	$34.67	$53.70	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $77.62 / $141.25	Professional		$58.88	$77.62	$141.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $25.12 / $36.31	Professional	26	$14.79	$25.12	$36.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $54.95 / $104.71	Professional	TC	$41.69	$54.95	$104.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $89.13 / $128.82	Professional		$52.48	$89.13	$128.82
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $21.88 / $33.11	Professional	26	$14.45	$21.88	$33.11
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $66.07 / $93.33	Professional	TC	$39.81	$66.07	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $63.10 / $117.49	Professional		$46.77	$63.10	$117.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $17.78 / $33.88	Professional	26	$12.30	$17.78	$33.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $45.71 / $81.28	Professional	TC	$32.36	$45.71	$81.28
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $7.76 / $9.33 / $9.33	Facility	26	$7.76	$9.33	$9.33