Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $22.90 / $44.21	Facility	26	$12.02	$22.90	$44.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.09 / $36.26 / $108.19	Professional		$29.09	$36.26	$108.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.43 / $11.23 / $31.21	Professional	26	$9.43	$11.23	$31.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.66 / $27.39 / $76.97	Professional	TC	$19.66	$27.39	$76.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $8.07 / $12.31	Professional	26	$8.02	$8.07	$12.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $53.66 / $76.94	Professional		$36.54	$53.66	$76.94
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $14.72 / $21.10	Professional	26	$10.02	$14.72	$21.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.52 / $38.94 / $55.06	Professional	TC	$26.52	$38.94	$55.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.70 / $77.18 / $115.24	Professional		$48.70	$77.18	$115.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.11 / $21.00 / $31.33	Professional	26	$13.11	$21.00	$31.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.60 / $56.41 / $84.23	Professional	TC	$35.60	$56.41	$84.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $74.36 / $137.83	Professional		$41.84	$74.36	$137.83
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $19.86 / $37.82	Professional	26	$11.48	$19.86	$37.82
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $30.36 / $52.52 / $100.01	Professional	TC	$30.36	$52.52	$100.01
United Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $51.15 / $125.29	Professional		$43.15	$51.15	$125.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $14.51 / $32.15	Professional	26	$11.48	$14.51	$32.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.36 / $36.51 / $117.08	Professional	TC	$30.36	$36.51	$117.08
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $35.06 / $51.54	Professional		$29.22	$35.06	$51.54
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $8.69 / $10.78 / $14.40	Professional	26	$8.69	$10.78	$14.40
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $20.53 / $24.43 / $33.36	Professional	TC	$20.53	$24.43	$33.36