Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $288.40 / $537.03	Facility		$44.67	$288.40	$537.03
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $14.13 / $338.84	Facility	26	$10.96	$14.13	$338.84
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.42 / $36.31 / $389.05	Facility	TC	$20.42	$36.31	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.02 / $109.65	Professional		$26.92	$38.02	$109.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.22 / $38.90	Professional	26	$7.94	$11.22	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $23.99 / $77.62	Professional	TC	$16.22	$23.99	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $41.69	Professional		$19.95	$25.12	$41.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $13.18 / $23.99	Professional	26	$7.59	$13.18	$23.99
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $17.78 / $28.84	Professional	TC	$15.14	$17.78	$28.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $186.21 / $208.93	Facility		$147.91	$186.21	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $52.48 / $75.86	Professional		$33.11	$52.48	$75.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $16.22 / $23.44	Professional	26	$10.00	$16.22	$23.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $36.31 / $52.48	Professional	TC	$22.91	$36.31	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $199.53 / $524.81	Facility		$109.65	$199.53	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $100.00	Professional		$43.65	$56.23	$100.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $20.89 / $30.90	Professional	26	$12.59	$20.89	$30.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $38.90 / $70.79	Professional	TC	$28.18	$38.90	$70.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $58.88 / $89.13	Professional		$36.31	$58.88	$89.13
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $18.20 / $26.92	Professional	26	$11.48	$18.20	$26.92
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $41.69 / $61.66	Professional	TC	$26.92	$41.69	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $45.71 / $83.18	Professional		$33.11	$45.71	$83.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $14.45 / $27.54	Professional	26	$10.96	$14.45	$27.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.90 / $54.95	Professional	TC	$21.88	$30.90	$54.95
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $6.61 / $7.76 / $7.76	Facility	26	$6.61	$7.76	$7.76
Well Sense Facility/Professional Facility Modifier TC Low / Median / High Price $15.85 / $18.62 / $18.62	Facility	TC	$15.85	$18.62	$18.62