Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $194.98 / $398.11	Facility	26	$128.82	$194.98	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $537.03 / $2,238.72	Professional		$371.54	$537.03	$2,238.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $165.96 / $338.84	Professional	26	$102.33	$165.96	$338.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $371.54 / $1,148.15	Professional	TC	$257.04	$371.54	$1,148.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $234.42	Professional		$134.90	$134.90	$234.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $128.82 / $323.59	Professional	26	$125.89	$128.82	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $794.33 / $1,148.15	Professional		$338.84	$794.33	$1,148.15
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $229.09 / $331.13	Professional	26	$100.00	$229.09	$331.13
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $549.54 / $870.96	Professional	TC	$239.88	$549.54	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $812.83 / $1,862.09	Professional		$457.09	$812.83	$1,862.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $204.17 / $309.03	Professional	26	$125.89	$204.17	$309.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $588.84 / $1,548.82	Professional	TC	$331.13	$588.84	$1,548.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $616.60 / $954.99	Professional		$389.05	$616.60	$954.99
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $177.83 / $275.42	Professional	26	$114.82	$177.83	$275.42
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $436.52 / $676.08	Professional	TC	$281.84	$436.52	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $691.83 / $1,288.25	Professional		$398.11	$691.83	$1,288.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $144.54 / $288.40	Professional	26	$97.72	$144.54	$288.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $446.68 / $954.99	Professional	TC	$288.40	$446.68	$954.99
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $75.86 / $75.86	Facility	26	$64.57	$75.86	$75.86