Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.60 / $31.04 / $31.04	Facility	26	$12.60	$31.04	$31.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.27 / $31.20 / $86.84	Professional		$23.27	$31.20	$86.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.52 / $7.63 / $22.60	Professional	26	$6.52	$7.63	$22.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.75 / $22.86 / $63.99	Professional	TC	$16.75	$22.86	$63.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.48 / $6.48 / $6.48	Professional	26	$6.48	$6.48	$6.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.38 / $46.07 / $65.15	Professional		$31.38	$46.07	$65.15
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 $23.29 / $34.19 / $48.35	Professional	TC	$23.29	$34.19	$48.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $66.27 / $98.95	Professional		$40.06	$66.27	$98.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.25 / $16.80 / $25.01	Professional	26	$10.25	$16.80	$25.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.98 / $48.24 / $73.94	Professional	TC	$29.98	$48.24	$73.94
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $59.81 / $118.32	Professional		$35.92	$59.81	$118.32
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.26 / $15.27 / $30.50	Professional	26	$9.26	$15.27	$30.50
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $26.66 / $47.38 / $87.82	Professional	TC	$26.66	$47.38	$87.82
United Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $40.27 / $81.84	Professional		$33.15	$40.27	$81.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $11.33 / $22.33	Professional	26	$8.46	$11.33	$22.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.59 / $29.09 / $57.17	Professional	TC	$22.59	$29.09	$57.17
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $24.71 / $28.86 / $43.59	Professional		$24.71	$28.86	$43.59
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 $17.79 / $20.93 / $28.85	Professional	TC	$17.79	$20.93	$28.85