Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.46 / $129.46 / $354.76	Facility	26	$87.46	$129.46	$354.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.51 / $409.47 / $1,220.05	Professional		$236.51	$409.47	$1,220.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.66 / $87.47 / $244.89	Professional	26	$67.66	$87.47	$244.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.84 / $321.99 / $975.16	Professional	TC	$168.84	$321.99	$975.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.55 / $225.90 / $634.91	Professional		$213.55	$225.90	$634.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.58 / $95.79 / $196.23	Professional	26	$63.58	$95.79	$196.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.36 / $593.65 / $839.53	Professional		$261.36	$593.65	$839.53
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.13 / $177.61 / $251.17	Professional	26	$83.13	$177.61	$251.17
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $178.23 / $416.04 / $588.36	Professional	TC	$178.23	$416.04	$588.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.15 / $659.68 / $1,207.09	Professional		$370.15	$659.68	$1,207.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.30 / $174.26 / $254.83	Professional	26	$106.30	$174.26	$254.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $261.58 / $469.35 / $970.19	Professional	TC	$261.58	$469.35	$970.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $318.08 / $550.23 / $1,047.82	Professional		$318.08	$550.23	$1,047.82
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $95.17 / $156.88 / $293.74	Professional	26	$95.17	$156.88	$293.74
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $222.92 / $396.17 / $734.32	Professional	TC	$222.92	$396.17	$734.32
United Facility/Professional Professional Modifier Low / Median / High Price $381.34 / $461.76 / $826.54	Professional		$381.34	$461.76	$826.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.19 / $116.83 / $246.72	Professional	26	$89.19	$116.83	$246.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $246.58 / $324.38 / $683.32	Professional	TC	$246.58	$324.38	$683.32
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $216.18 / $297.45 / $493.02	Professional		$216.18	$297.45	$493.02
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $69.90 / $86.68 / $112.53	Professional	26	$69.90	$86.68	$112.53
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $146.28 / $181.39 / $405.67	Professional	TC	$146.28	$181.39	$405.67