Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $22.91 / $44.67	Facility	26	$12.02	$22.91	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $95.50	Professional		$30.20	$38.90	$95.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $15.85 / $35.48	Professional	26	$8.91	$15.85	$35.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $27.54 / $67.61	Professional	TC	$20.42	$27.54	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $58.88 / $85.11	Professional		$38.02	$58.88	$85.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $16.22 / $23.44	Professional	26	$10.23	$16.22	$23.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $42.66 / $57.54	Professional	TC	$27.54	$42.66	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $69.18 / $114.82	Professional		$48.98	$69.18	$114.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $21.88 / $31.62	Professional	26	$13.18	$21.88	$31.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $47.86 / $83.18	Professional	TC	$35.48	$47.86	$83.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $69.18 / $102.33	Professional		$43.65	$69.18	$102.33
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $18.62 / $27.54	Professional	26	$12.02	$18.62	$27.54
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $48.98 / $72.44	Professional	TC	$31.62	$48.98	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $100.00	Professional		$38.90	$51.29	$100.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $15.14 / $31.62	Professional	26	$11.48	$15.14	$31.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $36.31 / $69.18	Professional	TC	$27.54	$36.31	$69.18
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $6.61 / $7.76 / $7.76	Facility	26	$6.61	$7.76	$7.76