Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	26	$30.90	$30.90	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.90 / $66.07	Professional		$23.99	$30.90	$66.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $8.91 / $28.84	Professional	26	$6.92	$8.91	$28.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $22.91 / $47.86	Professional	TC	$16.98	$22.91	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $66.07	Professional		$32.36	$50.12	$66.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $12.88 / $18.62	Professional	26	$8.32	$12.88	$18.62
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $37.15 / $50.12	Professional	TC	$23.99	$37.15	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $54.95 / $97.72	Professional		$41.69	$54.95	$97.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $16.98 / $24.55	Professional	26	$10.00	$16.98	$24.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $41.69 / $72.44	Professional	TC	$30.20	$41.69	$72.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $58.88 / $87.10	Professional		$37.15	$58.88	$87.10
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $14.79 / $21.88	Professional	26	$9.55	$14.79	$21.88
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $42.66 / $64.57	Professional	TC	$27.54	$42.66	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $43.65 / $81.28	Professional		$31.62	$43.65	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $11.75 / $22.39	Professional	26	$8.51	$11.75	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $31.62 / $57.54	Professional	TC	$22.91	$31.62	$57.54
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $5.25 / $6.31 / $6.31	Facility	26	$5.25	$6.31	$6.31