Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $131.83 / $263.03	Facility	26	$66.07	$131.83	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $302.00 / $676.08	Professional		$218.78	$302.00	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $95.50 / $213.80	Professional	26	$61.66	$95.50	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $213.80 / $501.19	Professional	TC	$147.91	$213.80	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $169.82	Professional		$154.88	$154.88	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $512.86 / $741.31	Professional		$218.78	$512.86	$741.31
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $169.82 / $245.47	Professional	26	$74.13	$169.82	$245.47
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $338.84 / $537.03	Professional	TC	$144.54	$338.84	$537.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $85.11 / $85.11	Facility	26	$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $524.81 / $933.25	Professional		$302.00	$524.81	$933.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $147.91 / $229.09	Professional	26	$95.50	$147.91	$229.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $363.08 / $741.31	Professional	TC	$199.53	$363.08	$741.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $602.56	Professional		$251.19	$398.11	$602.56
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $134.90 / $194.98	Professional	26	$85.11	$134.90	$194.98
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $269.15 / $389.05	Professional	TC	$169.82	$269.15	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $724.44	Professional		$251.19	$371.54	$724.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $107.15 / $194.98	Professional	26	$70.79	$107.15	$194.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $257.04 / $478.63	Professional	TC	$169.82	$257.04	$478.63
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $56.23 / $56.23	Facility	26	$47.86	$56.23	$56.23