Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $77.62 / $208.93	Facility	26	$51.29	$77.62	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $218.78 / $851.14	Professional		$125.89	$218.78	$851.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $64.57 / $165.96	Professional	26	$37.15	$64.57	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $138.04 / $316.23	Professional	TC	$87.10	$138.04	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $100.00 / $316.23	Professional		$89.13	$100.00	$316.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $48.98 / $60.26	Professional	26	$30.20	$48.98	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $302.00 / $426.58	Professional		$128.82	$302.00	$426.58
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $91.20 / $131.83	Professional	26	$39.81	$91.20	$131.83
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $204.17 / $323.59	Professional	TC	$89.13	$204.17	$323.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $67.61 / $67.61	Facility	26	$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $331.13 / $645.65	Professional		$173.78	$331.13	$645.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $91.20 / $141.25	Professional	26	$50.12	$91.20	$141.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $223.87 / $489.78	Professional	TC	$120.23	$223.87	$489.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $234.42 / $354.81	Professional		$147.91	$234.42	$354.81
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $70.79 / $104.71	Professional	26	$46.77	$70.79	$104.71
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $158.49 / $234.42	Professional	TC	$104.71	$158.49	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $234.42 / $389.05	Professional		$141.25	$234.42	$389.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $57.54 / $109.65	Professional	26	$43.65	$57.54	$109.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $158.49 / $269.15	Professional	TC	$100.00	$158.49	$269.15
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $30.20 / $30.20	Facility	26	$25.70	$30.20	$30.20