Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $117.49 / $457.09	Facility		$44.67	$117.49	$457.09
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $20.42 / $40.74	Facility	26	$10.72	$20.42	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.88 / $93.33	Professional		$20.89	$33.88	$93.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $17.38 / $32.36	Professional	26	$8.91	$17.38	$32.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $25.70 / $67.61	Professional	TC	$18.20	$25.70	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $13.49 / $15.85	Professional	26	$13.18	$13.49	$15.85
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $21.38 / $21.38	Professional	TC	$21.38	$21.38	$21.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $204.17 / $229.09	Facility		$162.18	$204.17	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $57.54 / $75.86	Professional		$36.31	$57.54	$75.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $16.60 / $23.44	Professional	26	$10.23	$16.60	$23.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $40.74 / $53.70	Professional	TC	$25.70	$40.74	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $223.87 / $524.81	Facility		$123.03	$223.87	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $58.88 / $112.20	Professional		$43.65	$58.88	$112.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $21.38 / $31.62	Professional	26	$12.88	$21.38	$31.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $41.69 / $79.43	Professional	TC	$31.62	$41.69	$79.43
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $66.07 / $100.00	Professional		$42.66	$66.07	$100.00
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $18.62 / $27.54	Professional	26	$12.02	$18.62	$27.54
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $46.77 / $67.61	Professional	TC	$30.20	$46.77	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $47.86 / $91.20	Professional		$36.31	$47.86	$91.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $15.14 / $28.84	Professional	26	$10.72	$15.14	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $34.67 / $61.66	Professional	TC	$23.44	$34.67	$61.66
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $6.76 / $7.94 / $7.94	Facility	26	$6.76	$7.94	$7.94