Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.62 / $40.29 / $40.29	Facility	26	$15.62	$40.29	$40.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $38.06 / $104.72	Professional		$27.85	$38.06	$104.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $10.68 / $27.74	Professional	26	$8.46	$10.68	$27.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.66 / $27.39 / $76.97	Professional	TC	$19.66	$27.39	$76.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $8.02 / $8.02	Professional	26	$8.02	$8.02	$8.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $58.41 / $82.60	Professional		$39.79	$58.41	$82.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $14.72 / $20.81	Professional	26	$10.02	$14.72	$20.81
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.76 / $43.69 / $61.67	Professional	TC	$29.76	$43.69	$61.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.23 / $79.56 / $126.56	Professional		$51.23	$79.56	$126.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.11 / $21.00 / $31.01	Professional	26	$13.11	$21.00	$31.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.68 / $57.13 / $95.54	Professional	TC	$38.68	$57.13	$95.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $37.82 / $71.66 / $150.05	Professional		$37.82	$71.66	$150.05
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $18.04 / $35.43	Professional	26	$11.48	$18.04	$35.43
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $34.07 / $60.55 / $112.23	Professional	TC	$34.07	$60.55	$112.23
United Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $50.09 / $93.58	Professional		$40.47	$50.09	$93.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.71 / $14.51 / $28.59	Professional	26	$10.71	$14.51	$28.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.23 / $37.33 / $64.31	Professional	TC	$29.23	$37.33	$64.31
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $31.68 / $37.18 / $56.15	Professional		$31.68	$37.18	$56.15
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $8.63 / $10.15 / $13.99	Professional	26	$8.63	$10.15	$13.99
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $22.13 / $27.03 / $37.26	Professional	TC	$22.13	$27.03	$37.26