Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $36.31 / $36.31	Facility	26	$36.31	$36.31	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $74.13	Professional		$15.14	$20.89	$74.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.72 / $32.36	Professional	26	$7.94	$10.72	$32.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.03 / $8.91 / $23.99	Professional	TC	$6.03	$8.91	$23.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $54.95	Professional		$23.99	$23.99	$54.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $12.59 / $12.59	Professional	26	$12.59	$12.59	$12.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $29.51 / $41.69	Professional		$19.50	$29.51	$41.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $15.49 / $21.88	Professional	26	$10.00	$15.49	$21.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.33 / $14.13 / $19.50	Professional	TC	$9.33	$14.13	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.90 / $58.88	Professional		$23.99	$38.90	$58.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $19.95 / $29.51	Professional	26	$12.30	$19.95	$29.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.22 / $19.50 / $35.48	Professional	TC	$11.22	$19.50	$35.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $25.70 / $51.29	Professional		$12.02	$25.70	$51.29
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $18.20 / $28.84	Professional	26	$11.48	$18.20	$28.84
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $18.62 / $28.84	Professional	TC	$10.96	$18.62	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.90 / $54.95	Professional		$21.88	$30.90	$54.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $14.13 / $28.18	Professional	26	$10.00	$14.13	$28.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.55 / $14.13 / $25.12	Professional	TC	$9.55	$14.13	$25.12
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $6.17 / $7.24 / $7.24	Facility	26	$6.17	$7.24	$7.24