Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.69 / $48.21 / $48.21	Facility	26	$20.69	$48.21	$48.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.01 / $40.92 / $113.78	Professional		$29.01	$40.92	$113.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $12.18 / $33.88	Professional	26	$10.23	$12.18	$33.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.78 / $28.43 / $79.92	Professional	TC	$18.78	$28.43	$79.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.56 / $11.09 / $11.09	Professional	26	$10.56	$11.09	$11.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.37 / $62.21 / $87.97	Professional		$42.37	$62.21	$87.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.26 / $19.47 / $27.53	Professional	26	$13.26	$19.47	$27.53
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.11 / $42.74 / $60.33	Professional	TC	$29.11	$42.74	$60.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.47 / $89.42 / $134.55	Professional		$54.47	$89.42	$134.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.62 / $26.64 / $41.06	Professional	26	$16.62	$26.64	$41.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.84 / $61.30 / $93.48	Professional	TC	$37.84	$61.30	$93.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $79.97 / $159.80	Professional		$48.51	$79.97	$159.80
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $15.18 / $24.97 / $46.85	Professional	26	$15.18	$24.97	$46.85
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $33.33 / $59.23 / $109.79	Professional	TC	$33.33	$59.23	$109.79
United Facility/Professional Professional Modifier Low / Median / High Price $44.50 / $57.81 / $197.56	Professional		$44.50	$57.81	$197.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.07 / $19.04 / $36.92	Professional	26	$13.07	$19.04	$36.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.78 / $36.86 / $65.98	Professional	TC	$28.78	$36.86	$65.98
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $32.83 / $40.03 / $60.45	Professional		$32.83	$40.03	$60.45
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $11.34 / $13.34 / $17.62	Professional	26	$11.34	$13.34	$17.62
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $21.59 / $26.69 / $36.79	Professional	TC	$21.59	$26.69	$36.79