Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.35 / $203.67 / $509.40	Facility		$31.35	$203.67	$509.40
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.08 / $11.08 / $321.54	Facility	26	$11.08	$11.08	$321.54
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.28 / $36.22 / $391.58	Facility	TC	$20.28	$36.22	$391.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.68 / $31.35 / $56.44	Professional		$24.68	$31.35	$56.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $10.14 / $19.14	Professional	26	$8.36	$10.14	$19.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.30 / $20.28 / $37.31	Professional	TC	$16.30	$20.28	$37.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.18 / $34.79 / $79.34	Professional		$25.18	$34.79	$79.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.69 / $11.70 / $33.14	Professional	26	$7.69	$11.70	$33.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.81 / $174.45 / $193.80	Facility		$138.81	$174.45	$193.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.67 / $47.96 / $67.81	Professional		$32.67	$47.96	$67.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $14.72 / $20.81	Professional	26	$10.02	$14.72	$20.81
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.64 / $33.24 / $47.00	Professional	TC	$22.64	$33.24	$47.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.16 / $160.52 / $521.64	Facility		$109.16	$160.52	$521.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.65 / $65.30 / $102.89	Professional		$41.65	$65.30	$102.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.05 / $20.84 / $31.01	Professional	26	$13.05	$20.84	$31.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.10 / $43.72 / $71.88	Professional	TC	$29.10	$43.72	$71.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $35.38 / $62.27 / $123.20	Professional		$35.38	$62.27	$123.20
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $18.70 / $37.82	Professional	26	$11.48	$18.70	$37.82
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $25.92 / $45.52 / $85.38	Professional	TC	$25.92	$45.52	$85.38
United Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $42.50 / $78.58	Professional		$32.28	$42.50	$78.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.81 / $16.39 / $49.59	Professional	26	$11.81	$16.39	$49.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.73 / $28.47 / $54.15	Professional	TC	$21.73	$28.47	$54.15
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $30.40 / $45.92	Professional		$26.03	$30.40	$45.92
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $10.02 / $14.50	Professional	26	$8.36	$10.02	$14.50
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $17.50 / $20.59 / $28.38	Professional	TC	$17.50	$20.59	$28.38