Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $36.29 / $36.29	Facility	26	$15.14	$36.29	$36.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $19.26 / $22.66	Professional		$15.45	$19.26	$22.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $9.14 / $13.05	Professional	26	$8.31	$9.14	$13.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.14 / $10.11 / $11.48	Professional	TC	$7.14	$10.11	$11.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.74 / $8.09 / $12.51	Professional	26	$7.74	$8.09	$12.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $27.07 / $38.81	Professional		$18.44	$27.07	$38.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.69 / $14.25 / $20.14	Professional	26	$9.69	$14.25	$20.14
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.73 / $12.82 / $18.38	Professional	TC	$8.73	$12.82	$18.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.38 / $38.70 / $55.64	Professional		$24.38	$38.70	$55.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.68 / $19.66 / $29.32	Professional	26	$12.68	$19.66	$29.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.68 / $18.80 / $29.14	Professional	TC	$11.68	$18.80	$29.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $30.64 / $65.16	Professional		$10.70	$30.64	$65.16
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.11 / $22.04 / $36.60	Professional	26	$11.11	$22.04	$36.60
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $10.68 / $21.09 / $32.94	Professional	TC	$10.68	$21.09	$32.94
United Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $28.94 / $53.58	Professional		$23.95	$28.94	$53.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.01 / $14.08 / $30.41	Professional	26	$10.01	$14.08	$30.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.80 / $13.05 / $24.98	Professional	TC	$10.80	$13.05	$24.98
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $18.07 / $26.72	Professional		$15.07	$18.07	$26.72
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $8.10 / $9.52 / $13.14	Professional	26	$8.10	$9.52	$13.14
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $6.91 / $8.28 / $13.09	Professional	TC	$6.91	$8.28	$13.09