Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $128.82 / $467.74	Facility		$48.98	$128.82	$467.74
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $16.60 / $42.66	Facility	26	$12.02	$16.60	$42.66
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.70 / $70.79 / $478.63	Facility	TC	$25.70	$70.79	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $37.15 / $89.13	Professional		$28.18	$37.15	$89.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $16.22 / $36.31	Professional	26	$7.94	$16.22	$36.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $25.70 / $54.95	Professional	TC	$19.95	$25.70	$54.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $27.54 / $27.54	Professional	26	$27.54	$27.54	$27.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $199.53 / $223.87	Facility		$162.18	$199.53	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $56.23 / $79.43	Professional		$35.48	$56.23	$79.43
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $13.49 / $20.42	Professional	26	$8.71	$13.49	$20.42
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $42.66 / $56.23	Professional	TC	$26.92	$42.66	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $234.42 / $645.65	Facility		$128.82	$234.42	$645.65
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	TC	$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $66.07 / $109.65	Professional		$46.77	$66.07	$109.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $19.50 / $29.51	Professional	26	$10.96	$19.50	$29.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $45.71 / $83.18	Professional	TC	$33.11	$45.71	$83.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $67.61 / $97.72	Professional		$41.69	$67.61	$97.72
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $15.85 / $22.91	Professional	26	$10.23	$15.85	$22.91
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $48.98 / $72.44	Professional	TC	$30.90	$48.98	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $48.98 / $97.72	Professional		$36.31	$48.98	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $13.80 / $28.84	Professional	26	$10.47	$13.80	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $35.48 / $64.57	Professional	TC	$25.70	$35.48	$64.57
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $5.50 / $6.46 / $6.46	Facility	26	$5.50	$6.46	$6.46
Well Sense Facility/Professional Facility Modifier TC Low / Median / High Price $18.62 / $21.88 / $21.88	Facility	TC	$18.62	$21.88	$21.88