Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $218.78 / $218.78	Facility	26	$83.18	$218.78	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $954.99	Professional		$269.15	$426.58	$954.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $125.89 / $186.21	Professional	26	$75.86	$125.89	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $295.12 / $645.65	Professional	TC	$194.98	$295.12	$645.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $54.95 / $54.95	Professional	26	$54.95	$54.95	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $575.44 / $831.76	Professional		$245.47	$575.44	$831.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $158.49 / $229.09	Professional	26	$69.18	$158.49	$229.09
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $407.38 / $645.65	Professional	TC	$177.83	$407.38	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $630.96 / $1,445.44	Professional		$338.84	$630.96	$1,445.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $141.25 / $213.80	Professional	26	$83.18	$141.25	$213.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $446.68 / $1,202.26	Professional	TC	$245.47	$446.68	$1,202.26
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $446.68 / $691.83	Professional		$281.84	$446.68	$691.83
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $123.03 / $190.55	Professional	26	$79.43	$123.03	$190.55
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $323.59 / $501.19	Professional	TC	$208.93	$323.59	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $467.74 / $954.99	Professional		$281.84	$467.74	$954.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $100.00 / $181.97	Professional	26	$58.88	$100.00	$181.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $316.23 / $691.83	Professional	TC	$208.93	$316.23	$691.83
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