Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $269.15 / $269.15 / $269.15	Facility	26	$269.15	$269.15	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $426.58 / $1,445.44	Professional		$295.12	$426.58	$1,445.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $125.89 / $229.09	Professional	26	$72.44	$125.89	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $316.23 / $630.96	Professional	TC	$218.78	$316.23	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $616.60 / $891.25	Professional		$257.04	$616.60	$891.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $154.88 / $223.87	Professional	26	$66.07	$154.88	$223.87
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $446.68 / $660.69	Professional	TC	$190.55	$446.68	$660.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $64.57 / $64.57	Facility	26	$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $630.96 / $1,122.02	Professional		$354.81	$630.96	$1,122.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $147.91 / $213.80	Professional	26	$87.10	$147.91	$213.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $467.74 / $933.25	Professional	TC	$269.15	$467.74	$933.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $478.63 / $741.31	Professional		$302.00	$478.63	$741.31
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $120.23 / $186.21	Professional	26	$77.62	$120.23	$186.21
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $354.81 / $537.03	Professional	TC	$223.87	$354.81	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $870.96	Professional		$316.23	$478.63	$870.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $97.72 / $199.53	Professional	26	$67.61	$97.72	$199.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $354.81 / $676.08	Professional	TC	$234.42	$354.81	$676.08
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $51.29 / $51.29	Facility	26	$43.65	$51.29	$51.29