Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.03 / $19.17 / $48.21	Facility	26	$13.03	$19.17	$48.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.14 / $40.08 / $109.86	Professional		$28.14	$40.08	$109.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $12.18 / $33.88	Professional	26	$9.94	$12.18	$33.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $27.04 / $76.00	Professional	TC	$18.20	$27.04	$76.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.34 / $99.05 / $99.05	Professional		$31.34	$99.05	$99.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.80 / $14.35 / $40.67	Professional	26	$9.80	$14.35	$40.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $59.84 / $84.62	Professional		$40.76	$59.84	$84.62
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.29 / $18.05 / $25.52	Professional	26	$12.29	$18.05	$25.52
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.46 / $41.79 / $58.99	Professional	TC	$28.46	$41.79	$58.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.41 / $81.75 / $129.47	Professional		$52.41	$81.75	$129.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.98 / $25.57 / $38.04	Professional	26	$15.98	$25.57	$38.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.01 / $54.23 / $91.43	Professional	TC	$37.01	$54.23	$91.43
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $46.66 / $82.92 / $153.69	Professional		$46.66	$82.92	$153.69
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $14.07 / $24.34 / $46.35	Professional	26	$14.07	$24.34	$46.35
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $32.59 / $56.37 / $107.35	Professional	TC	$32.59	$56.37	$107.35
United Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $53.16 / $100.03	Professional		$42.28	$53.16	$100.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.07 / $17.75 / $60.82	Professional	26	$13.07	$17.75	$60.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.06 / $35.94 / $62.09	Professional	TC	$28.06	$35.94	$62.09
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $38.04 / $57.47	Professional		$31.73	$38.04	$57.47
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $12.27 / $16.60	Professional	26	$10.23	$12.27	$16.60
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $20.67 / $26.01 / $35.85	Professional	TC	$20.67	$26.01	$35.85