Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.71 / $253.66 / $253.66	Facility	26	$88.71	$253.66	$253.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.99 / $347.48 / $1,081.60	Professional		$217.99	$347.48	$1,081.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.05 / $62.53 / $175.00	Professional	26	$51.05	$62.53	$175.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $166.94 / $288.12 / $906.61	Professional	TC	$166.94	$288.12	$906.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.03 / $156.97 / $156.97	Professional		$141.03	$156.97	$156.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.62 / $47.60 / $109.20	Professional	26	$43.62	$47.60	$109.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.11 / $412.59 / $598.25	Professional		$193.11	$412.59	$598.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.93 / $121.63 / $172.00	Professional	26	$56.93	$121.63	$172.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $136.18 / $290.95 / $417.19	Professional	TC	$136.18	$290.95	$417.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.07 / $82.07 / $82.07	Facility	26	$82.07	$82.07	$82.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.45 / $466.64 / $884.63	Professional		$266.45	$466.64	$884.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.87 / $120.36 / $176.56	Professional	26	$72.87	$120.36	$176.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.24 / $333.30 / $739.01	Professional	TC	$190.24	$333.30	$739.01
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $221.07 / $392.89 / $728.23	Professional		$221.07	$392.89	$728.23
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $65.17 / $115.82 / $214.68	Professional	26	$65.17	$115.82	$214.68
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $155.90 / $277.07 / $513.54	Professional	TC	$155.90	$277.07	$513.54
United Facility/Professional Professional Modifier Low / Median / High Price $291.98 / $364.98 / $752.26	Professional		$291.98	$364.98	$752.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.03 / $91.48 / $185.04	Professional	26	$63.03	$91.48	$185.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $206.65 / $247.95 / $567.22	Professional	TC	$206.65	$247.95	$567.22
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $185.56 / $255.33 / $370.39	Professional		$185.56	$255.33	$370.39
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $62.90 / $85.10	Professional	26	$52.48	$62.90	$85.10
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $132.69 / $164.55 / $307.89	Professional	TC	$132.69	$164.55	$307.89