Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $18.62 / $47.86	Facility	26	$12.88	$18.62	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $39.81 / $128.82	Professional		$13.80	$39.81	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $17.78 / $38.02	Professional	26	$10.96	$17.78	$38.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.20 / $87.10	Professional	TC	$21.88	$30.20	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $34.67 / $61.66	Professional		$26.92	$34.67	$61.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $15.85 / $19.05	Professional	26	$9.33	$15.85	$19.05
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $19.05 / $23.44	Professional	TC	$18.20	$19.05	$23.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $66.07 / $87.10	Professional		$41.69	$66.07	$87.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $19.50 / $28.84	Professional	26	$12.59	$19.50	$28.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $45.71 / $60.26	Professional	TC	$28.84	$45.71	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $125.89	Professional		$51.29	$70.79	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $25.70 / $38.02	Professional	26	$15.49	$25.70	$38.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $46.77 / $89.13	Professional	TC	$35.48	$46.77	$89.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $75.86 / $112.20	Professional		$45.71	$75.86	$112.20
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $22.91 / $33.11	Professional	26	$14.79	$22.91	$33.11
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $53.70 / $77.62	Professional	TC	$33.88	$53.70	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $56.23 / $104.71	Professional		$41.69	$56.23	$104.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $17.78 / $33.88	Professional	26	$13.18	$17.78	$33.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $38.90 / $70.79	Professional	TC	$27.54	$38.90	$70.79
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $8.13 / $9.55 / $9.55	Facility	26	$8.13	$9.55	$9.55