Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.84 / $117.54 / $453.60	Facility		$32.84	$117.54	$453.60
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.67 / $16.14 / $40.29	Facility	26	$10.67	$16.14	$40.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $32.84 / $90.04	Professional		$23.66	$32.84	$90.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $10.67 / $27.74	Professional	26	$8.36	$10.67	$27.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.29 / $22.16 / $62.29	Professional	TC	$15.29	$22.16	$62.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $28.91 / $29.17	Professional		$27.37	$28.91	$29.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.26 / $8.64 / $34.26	Professional	26	$8.26	$8.64	$34.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.33 / $190.18 / $211.27	Facility		$151.33	$190.18	$211.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $52.24 / $74.90	Professional		$35.58	$52.24	$74.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $15.20 / $21.49	Professional	26	$10.35	$15.20	$21.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.23 / $37.04 / $52.38	Professional	TC	$25.23	$37.04	$52.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.22 / $180.95 / $521.64	Facility		$123.22	$180.95	$521.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.40 / $69.70 / $112.15	Professional		$45.40	$69.70	$112.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.23 / $21.54 / $31.01	Professional	26	$13.23	$21.54	$31.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.85 / $47.79 / $81.14	Professional	TC	$32.85	$47.79	$81.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $68.25 / $134.16	Professional		$40.72	$68.25	$134.16
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.85 / $19.48 / $36.58	Professional	26	$11.85	$19.48	$36.58
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $28.88 / $51.22 / $95.13	Professional	TC	$28.88	$51.22	$95.13
United Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $46.24 / $82.47	Professional		$36.10	$46.24	$82.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.71 / $14.98 / $30.26	Professional	26	$10.71	$14.98	$30.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.08 / $31.90 / $56.50	Professional	TC	$25.08	$31.90	$56.50
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $33.11 / $50.01	Professional		$28.35	$33.11	$50.01
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $8.63 / $10.15 / $13.99	Professional	26	$8.63	$10.15	$13.99
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $19.22 / $22.96 / $31.65	Professional	TC	$19.22	$22.96	$31.65