Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.32 / $15.24 / $31.04	Facility	26	$8.32	$15.24	$31.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.81 / $28.03 / $77.06	Professional		$21.81	$28.03	$77.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.23 / $7.79 / $21.62	Professional	26	$6.23	$7.79	$21.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.58 / $19.72 / $55.71	Professional	TC	$15.58	$19.72	$55.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $23.42 / $32.40	Professional		$23.42	$23.42	$32.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $9.68 / $19.82	Professional	26	$6.74	$9.68	$19.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $44.64 / $63.12	Professional		$30.41	$44.64	$63.12
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $12.35 / $17.46	Professional	26	$8.41	$12.35	$17.46
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.00 / $32.29 / $45.66	Professional	TC	$22.00	$32.29	$45.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $53.98 / $95.83	Professional		$38.79	$53.98	$95.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.53 / $17.22 / $26.00	Professional	26	$10.53	$17.22	$26.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.91 / $37.86 / $69.81	Professional	TC	$27.91	$37.86	$69.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $66.31 / $114.67	Professional		$35.40	$66.31	$114.67
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.63 / $16.03 / $31.72	Professional	26	$9.63	$16.03	$31.72
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $25.18 / $43.56 / $82.95	Professional	TC	$25.18	$43.56	$82.95
United Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $39.78 / $72.31	Professional		$27.79	$39.78	$72.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.72 / $11.77 / $22.62	Professional	26	$8.72	$11.77	$22.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.99 / $27.06 / $50.92	Professional	TC	$20.99	$27.06	$50.92
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $28.49 / $43.02	Professional		$24.39	$28.49	$43.02
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $7.00 / $8.23 / $10.73	Professional	26	$7.00	$8.23	$10.73
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $17.22 / $20.26 / $27.93	Professional	TC	$17.22	$20.26	$27.93