Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $245.47 / $416.87	Facility	26	$128.82	$245.47	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $2,290.87	Professional		$398.11	$602.56	$2,290.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $169.82 / $354.81	Professional	26	$109.65	$169.82	$354.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $436.52 / $1,071.52	Professional	TC	$281.84	$436.52	$1,071.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $83.18 / $83.18	Professional	26	$83.18	$83.18	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,096.48 / $1,584.89	Professional		$457.09	$1,096.48	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $239.88 / $346.74	Professional	26	$104.71	$239.88	$346.74
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $851.14 / $1,230.27	Professional	TC	$354.81	$851.14	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,122.02 / $2,137.96	Professional		$630.96	$1,122.02	$2,137.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $218.78 / $331.13	Professional	26	$131.83	$218.78	$331.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $478.63 / $870.96 / $1,819.70	Professional	TC	$478.63	$870.96	$1,819.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $1,318.26	Professional		$549.54	$851.14	$1,318.26
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $186.21 / $288.40	Professional	26	$120.23	$186.21	$288.40
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $426.58 / $660.69 / $1,023.29	Professional	TC	$426.58	$660.69	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $891.25 / $1,584.89	Professional		$562.34	$891.25	$1,584.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $151.36 / $309.03	Professional	26	$102.33	$151.36	$309.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $436.52 / $691.83 / $1,258.93	Professional	TC	$436.52	$691.83	$1,258.93
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $79.43 / $79.43	Facility	26	$67.61	$79.43	$79.43