Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.49 / $23.44 / $57.54	Facility	26	$15.49	$23.44	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $131.83	Professional		$41.69	$52.48	$131.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $23.44 / $47.86	Professional	26	$12.88	$23.44	$47.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $38.02 / $91.20	Professional	TC	$26.92	$38.02	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $36.31 / $123.03	Professional		$35.48	$36.31	$123.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $19.50 / $19.50	Professional	26	$19.50	$19.50	$19.50
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $22.91 / $22.91	Professional	TC	$22.91	$22.91	$22.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $81.28 / $114.82	Professional		$51.29	$81.28	$114.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $23.99 / $34.67	Professional	26	$15.14	$23.99	$34.67
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $57.54 / $77.62	Professional	TC	$36.31	$57.54	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $158.49	Professional		$66.07	$91.20	$158.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $30.90 / $45.71	Professional	26	$18.62	$30.90	$45.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $66.07 / $112.20	Professional	TC	$44.67	$66.07	$112.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $95.50 / $141.25	Professional		$58.88	$95.50	$141.25
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $26.92 / $39.81	Professional	26	$17.38	$26.92	$39.81
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $64.57 / $95.50	Professional	TC	$41.69	$64.57	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $131.83	Professional		$52.48	$69.18	$131.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $21.38 / $41.69	Professional	26	$15.49	$21.38	$41.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $48.98 / $87.10	Professional	TC	$36.31	$48.98	$87.10
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $9.77 / $11.48 / $11.48	Facility	26	$9.77	$11.48	$11.48