Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $220.72 / $645.42	Facility		$20.35	$220.72	$645.42
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $13.28	Facility	26	$9.30	$9.30	$13.28
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $11.06 / $24.28 / $338.55	Facility	TC	$11.06	$24.28	$338.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $19.14 / $29.63	Professional		$15.92	$19.14	$29.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $8.08 / $11.37	Professional	26	$6.92	$8.08	$11.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.88 / $10.66 / $18.48	Professional	TC	$8.88	$10.66	$18.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.83 / $26.83 / $26.83	Professional		$26.83	$26.83	$26.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.42 / $6.76 / $27.78	Professional	26	$6.42	$6.76	$27.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.99 / $134.46 / $149.37	Facility		$106.99	$134.46	$149.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $37.04 / $52.38	Professional		$25.23	$37.04	$52.38
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $12.35 / $17.46	Professional	26	$8.41	$12.35	$17.46
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.82 / $24.69 / $34.85	Professional	TC	$16.82	$24.69	$34.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.56 / $87.56 / $521.64	Facility		$80.56	$87.56	$521.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.19 / $43.59 / $78.34	Professional		$30.19	$43.59	$78.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.95 / $17.42 / $24.98	Professional	26	$10.95	$17.42	$24.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.50 / $25.62 / $53.36	Professional	TC	$17.50	$25.62	$53.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $47.61 / $95.13	Professional		$28.88	$47.61	$95.13
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.63 / $16.66 / $31.72	Professional	26	$9.63	$16.66	$31.72
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $19.26 / $34.22 / $63.44	Professional	TC	$19.26	$34.22	$63.44
United Facility/Professional Professional Modifier Low / Median / High Price $23.74 / $32.11 / $52.29	Professional		$23.74	$32.11	$52.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.44 / $12.19 / $29.52	Professional	26	$9.44	$12.19	$29.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $25.18 / $57.97	Professional	TC	$16.60	$25.18	$57.97
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $23.46 / $35.88	Professional		$18.77	$23.46	$35.88
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $7.02 / $8.42 / $12.17	Professional	26	$7.02	$8.42	$12.17
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $10.34 / $14.95 / $23.44	Professional	TC	$10.34	$14.95	$23.44