Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.14 / $116.34 / $236.50	Facility	26	$58.14	$116.34	$236.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.15 / $242.68 / $721.63	Professional		$145.15	$242.68	$721.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.48 / $58.14 / $162.74	Professional	26	$47.48	$58.14	$162.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.67 / $184.55 / $558.89	Professional	TC	$97.67	$184.55	$558.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.87 / $79.87 / $79.87	Professional		$79.87	$79.87	$79.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.83 / $75.34 / $193.54	Professional	26	$46.83	$75.34	$193.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.82 / $315.83 / $452.86	Professional		$147.82	$315.83	$452.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.55 / $125.09 / $176.90	Professional	26	$58.55	$125.09	$176.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $89.28 / $190.74 / $273.50	Professional	TC	$89.28	$190.74	$273.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.93 / $75.93 / $75.93	Facility	26	$75.93	$75.93	$75.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.16 / $350.27 / $617.22	Professional		$199.16	$350.27	$617.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.29 / $123.25 / $179.91	Professional	26	$74.29	$123.25	$179.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.23 / $216.95 / $417.34	Professional	TC	$123.23	$216.95	$417.34
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $169.23 / $300.76 / $557.46	Professional		$169.23	$300.76	$557.46
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $67.02 / $110.48 / $206.86	Professional	26	$67.02	$110.48	$206.86
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $102.20 / $181.63 / $336.66	Professional	TC	$102.20	$181.63	$336.66
United Facility/Professional Professional Modifier Low / Median / High Price $206.44 / $249.44 / $525.62	Professional		$206.44	$249.44	$525.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.66 / $85.39 / $173.68	Professional	26	$58.66	$85.39	$173.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $126.78 / $144.84 / $353.68	Professional	TC	$126.78	$144.84	$353.68
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $130.74 / $179.90 / $247.62	Professional		$130.74	$179.90	$247.62
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $48.99 / $58.72 / $79.43	Professional	26	$48.99	$58.72	$79.43
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $81.40 / $100.94 / $187.99	Professional	TC	$81.40	$100.94	$187.99