Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.65 / $13.98 / $28.42	Facility	26	$7.65	$13.98	$28.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $23.68 / $66.55	Professional		$16.93	$23.68	$66.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.72 / $6.89 / $19.96	Professional	26	$5.72	$6.89	$19.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.22 / $16.59 / $46.62	Professional	TC	$11.22	$16.59	$46.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.98 / $9.57 / $24.56	Professional	26	$5.98	$9.57	$24.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $34.67 / $49.03	Professional		$23.61	$34.67	$49.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.44 / $10.92 / $15.44	Professional	26	$7.44	$10.92	$15.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.17 / $23.75 / $33.58	Professional	TC	$16.17	$23.75	$33.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.07 / $48.50 / $74.29	Professional		$30.07	$48.50	$74.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.30 / $14.86 / $22.99	Professional	26	$9.30	$14.86	$22.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.77 / $32.79 / $51.30	Professional	TC	$20.77	$32.79	$51.30
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $45.29 / $89.04	Professional		$26.30	$45.29	$89.04
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $13.40 / $28.07	Professional	26	$8.52	$13.40	$28.07
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $18.52 / $32.04 / $61.01	Professional	TC	$18.52	$32.04	$61.01
United Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $31.41 / $56.65	Professional		$24.52	$31.41	$56.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.28 / $10.42 / $20.87	Professional	26	$7.28	$10.42	$20.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.38 / $21.52 / $65.89	Professional	TC	$16.38	$21.52	$65.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $22.46 / $33.92	Professional		$19.23	$22.46	$33.92
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $6.19 / $7.28 / $9.85	Professional	26	$6.19	$7.28	$9.85
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $12.77 / $15.26 / $20.93	Professional	TC	$12.77	$15.26	$20.93