Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $162.18 / $331.13	Facility	26	$128.82	$162.18	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $1,023.29	Professional		$363.08	$478.63	$1,023.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $141.25 / $257.04	Professional	26	$70.79	$141.25	$257.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $338.84 / $812.83	Professional	TC	$263.03	$338.84	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $87.10 / $87.10	Professional	26	$87.10	$87.10	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $776.25 / $1,122.02	Professional		$331.13	$776.25	$1,122.02
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $158.49 / $229.09	Professional	26	$67.61	$158.49	$229.09
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $602.56 / $891.25	Professional	TC	$257.04	$602.56	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $851.14 / $2,041.74	Professional		$457.09	$851.14	$2,041.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $154.88 / $269.15	Professional	26	$87.10	$154.88	$269.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $363.08 / $660.69 / $1,778.28	Professional	TC	$363.08	$660.69	$1,778.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $602.56 / $933.25	Professional		$389.05	$602.56	$933.25
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $123.03 / $181.97	Professional	26	$79.43	$123.03	$181.97
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $478.63 / $741.31	Professional	TC	$302.00	$478.63	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $645.65 / $1,318.26	Professional		$380.19	$645.65	$1,318.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $100.00 / $208.93	Professional	26	$75.86	$100.00	$208.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $467.74 / $1,096.48	Professional	TC	$302.00	$467.74	$1,096.48
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $52.48 / $52.48	Facility	26	$44.67	$52.48	$52.48