Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.66 / $18.44 / $36.29	Facility	26	$9.66	$18.44	$36.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.86 / $32.14 / $89.34	Professional		$22.86	$32.14	$89.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.57 / $8.51 / $25.10	Professional	26	$7.57	$8.51	$25.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.29 / $22.86 / $64.23	Professional	TC	$15.29	$22.86	$64.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.46 / $34.46 / $34.46	Professional		$34.46	$34.46	$34.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.26 / $11.65 / $17.38	Professional	26	$7.26	$11.65	$17.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.35 / $47.49 / $67.16	Professional		$32.35	$47.49	$67.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.06 / $13.30 / $18.80	Professional	26	$9.06	$13.30	$18.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.29 / $34.19 / $48.26	Professional	TC	$23.29	$34.19	$48.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $68.26 / $102.96	Professional		$41.68	$68.26	$102.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.82 / $18.96 / $27.99	Professional	26	$11.82	$18.96	$27.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.92 / $49.52 / $74.97	Professional	TC	$30.92	$49.52	$74.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $37.03 / $65.81 / $121.98	Professional		$37.03	$65.81	$121.98
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.37 / $17.05 / $32.01	Professional	26	$10.37	$17.05	$32.01
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $26.66 / $46.82 / $87.82	Professional	TC	$26.66	$46.82	$87.82
United Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $42.54 / $75.91	Professional		$33.76	$42.54	$75.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $13.56 / $25.90	Professional	26	$10.00	$13.56	$25.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.00 / $29.90 / $50.01	Professional	TC	$25.00	$29.90	$50.01
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $25.93 / $30.46 / $46.01	Professional		$25.93	$30.46	$46.01
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $7.81 / $9.36 / $12.67	Professional	26	$7.81	$9.36	$12.67
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $17.61 / $21.13 / $29.32	Professional	TC	$17.61	$21.13	$29.32