Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.32 / $12.60 / $31.04	Facility	26	$8.32	$12.60	$31.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $33.60 / $93.06	Professional		$25.59	$33.60	$93.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.52 / $7.78 / $21.62	Professional	26	$6.52	$7.78	$21.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.07 / $25.30 / $71.11	Professional	TC	$19.07	$25.30	$71.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.48 / $6.75 / $19.05	Professional	26	$6.48	$6.75	$19.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $53.66 / $75.88	Professional		$36.54	$53.66	$75.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $11.87 / $16.78	Professional	26	$8.09	$11.87	$16.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.46 / $41.79 / $58.99	Professional	TC	$28.46	$41.79	$58.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $63.13 / $115.41	Professional		$45.20	$63.13	$115.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.37 / $16.75 / $23.98	Professional	26	$10.37	$16.75	$23.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.13 / $48.94 / $91.43	Professional	TC	$34.13	$48.94	$91.43
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $72.37 / $137.83	Professional		$41.84	$72.37	$137.83
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.26 / $15.23 / $28.58	Professional	26	$9.26	$15.23	$28.58
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $33.96 / $62.09 / $107.35	Professional	TC	$33.96	$62.09	$107.35
United Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $47.27 / $84.38	Professional		$33.81	$47.27	$84.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $11.69 / $32.95	Professional	26	$8.46	$11.69	$32.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.62 / $34.81 / $65.98	Professional	TC	$25.62	$34.81	$65.98
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $28.60 / $33.94 / $51.26	Professional		$28.60	$33.94	$51.26
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $6.73 / $8.07 / $10.91	Professional	26	$6.73	$8.07	$10.91
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $21.16 / $26.01 / $35.85	Professional	TC	$21.16	$26.01	$35.85