Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $51.29 / $51.29	Facility	26	$20.42	$51.29	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $45.71 / $117.49	Professional		$37.15	$45.71	$117.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $12.88 / $45.71	Professional	26	$10.96	$12.88	$45.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $32.36 / $69.18	Professional	TC	$22.91	$32.36	$69.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $16.98 / $16.98	Professional	26	$16.98	$16.98	$16.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $74.13 / $97.72	Professional		$46.77	$74.13	$97.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $20.89 / $30.20	Professional	26	$12.88	$20.89	$30.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $53.70 / $70.79	Professional	TC	$33.88	$53.70	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $144.54	Professional		$60.26	$79.43	$144.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $26.92 / $39.81	Professional	26	$16.22	$26.92	$39.81
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 $51.29 / $85.11 / $125.89	Professional		$51.29	$85.11	$125.89
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $22.39 / $34.67	Professional	26	$15.14	$22.39	$34.67
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $61.66 / $89.13	Professional	TC	$38.90	$61.66	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $64.57 / $117.49	Professional		$46.77	$64.57	$117.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $18.62 / $36.31	Professional	26	$13.49	$18.62	$36.31
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 $8.51 / $10.00 / $10.00	Facility	26	$8.51	$10.00	$10.00