Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $223.87 / $602.56	Facility		$20.42	$223.87	$602.56
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $9.33 / $19.95	Facility	26	$9.33	$9.33	$19.95
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $10.96 / $26.30 / $309.03	Facility	TC	$10.96	$26.30	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $25.12 / $81.28	Professional		$16.22	$25.12	$81.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $9.12 / $34.67	Professional	26	$7.24	$9.12	$34.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.91 / $15.85 / $34.67	Professional	TC	$8.91	$15.85	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.89 / $38.02	Professional		$18.20	$20.89	$38.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $8.13 / $12.88	Professional	26	$6.31	$8.13	$12.88
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $13.18 / $13.18	Professional	TC	$13.18	$13.18	$13.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $141.25 / $158.49	Facility		$114.82	$141.25	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $40.74 / $53.70	Professional		$25.12	$40.74	$53.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $13.49 / $18.62	Professional	26	$8.32	$13.49	$18.62
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $26.92 / $35.48	Professional	TC	$16.98	$26.92	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $147.91 / $524.81	Facility		$81.28	$147.91	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $39.81 / $77.62	Professional		$30.20	$39.81	$77.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $17.38 / $25.70	Professional	26	$10.47	$17.38	$25.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $25.12 / $52.48	Professional	TC	$16.22	$25.12	$52.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $38.90 / $67.61	Professional		$19.05	$38.90	$67.61
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $13.80 / $21.88	Professional	26	$9.55	$13.80	$21.88
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $32.36 / $46.77	Professional	TC	$19.95	$32.36	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.88 / $63.10	Professional		$22.91	$33.88	$63.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $12.30 / $23.44	Professional	26	$9.12	$12.30	$23.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.75 / $22.39 / $40.74	Professional	TC	$11.75	$22.39	$40.74
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $5.50 / $6.46 / $6.46	Facility	26	$5.50	$6.46	$6.46
Well Sense Facility/Professional Facility Modifier TC Low / Median / High Price $11.75 / $13.80 / $13.80	Facility	TC	$11.75	$13.80	$13.80