Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.54 / $50.86 / $50.86	Facility	26	$19.54	$50.86	$50.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $44.39 / $123.43	Professional		$33.04	$44.39	$123.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.48 / $12.10 / $35.69	Professional	26	$10.48	$12.10	$35.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $31.22 / $87.76	Professional	TC	$22.57	$31.22	$87.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.30 / $10.30 / $14.99	Professional	26	$10.30	$10.30	$14.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.26 / $67.91 / $96.03	Professional		$46.26	$67.91	$96.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.94 / $19.00 / $26.86	Professional	26	$12.94	$19.00	$26.86
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 $59.48 / $92.59 / $146.93	Professional		$59.48	$92.59	$146.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.80 / $26.94 / $40.07	Professional	26	$16.80	$26.94	$40.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.26 / $63.93 / $106.86	Professional	TC	$43.26	$63.93	$106.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $91.59 / $174.42	Professional		$52.95	$91.59	$174.42
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $14.81 / $24.41 / $48.79	Professional	26	$14.81	$24.41	$48.79
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $38.14 / $67.64 / $125.64	Professional	TC	$38.14	$67.64	$125.64
United Facility/Professional Professional Modifier Low / Median / High Price $47.32 / $60.61 / $98.25	Professional		$47.32	$60.61	$98.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.44 / $18.77 / $37.86	Professional	26	$13.44	$18.77	$37.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.84 / $42.48 / $76.90	Professional	TC	$32.84	$42.48	$76.90
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $37.01 / $43.44 / $65.59	Professional		$37.01	$43.44	$65.59
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $10.78 / $12.89 / $17.48	Professional	26	$10.78	$12.89	$17.48
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