Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.60 / $330.37 / $722.81	Facility		$46.60	$330.37	$722.81
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.47 / $15.58 / $40.29	Facility	26	$11.47	$15.58	$40.29
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.07 / $71.48 / $479.53	Facility	TC	$28.07	$71.48	$479.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.86 / $39.54 / $108.44	Professional		$25.86	$39.54	$108.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $11.47 / $29.88	Professional	26	$8.52	$11.47	$29.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.32 / $28.08 / $77.53	Professional	TC	$17.32	$28.08	$77.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.56 / $55.26 / $129.76	Professional		$29.56	$55.26	$129.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.26 / $13.33 / $34.26	Professional	26	$8.26	$13.33	$34.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.89 / $205.96 / $228.80	Facility		$163.89	$205.96	$228.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $56.51 / $79.91	Professional		$38.49	$56.51	$79.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $15.20 / $21.49	Professional	26	$10.35	$15.20	$21.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.14 / $41.32 / $58.33	Professional	TC	$28.14	$41.32	$58.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.72 / $180.95 / $521.64	Facility		$135.72	$180.95	$521.64
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $176.82 / $176.82 / $176.82	Facility	TC	$176.82	$176.82	$176.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.15 / $72.92 / $121.41	Professional		$49.15	$72.92	$121.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.23 / $21.70 / $32.04	Professional	26	$13.23	$21.70	$32.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.18 / $52.60 / $89.37	Professional	TC	$36.18	$52.60	$89.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $44.07 / $72.65 / $145.16	Professional		$44.07	$72.65	$145.16
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.85 / $19.48 / $39.04	Professional	26	$11.85	$19.48	$39.04
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $32.22 / $55.73 / $106.14	Professional	TC	$32.22	$55.73	$106.14
United Facility/Professional Professional Modifier Low / Median / High Price $37.22 / $49.51 / $85.09	Professional		$37.22	$49.51	$85.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $14.51 / $28.59	Professional	26	$10.72	$14.51	$28.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.07 / $35.17 / $60.09	Professional	TC	$27.07	$35.17	$60.09
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $35.47 / $53.59	Professional		$29.21	$35.47	$53.59
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $8.63 / $10.25 / $13.99	Professional	26	$8.63	$10.25	$13.99
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $20.67 / $25.33 / $34.92	Professional	TC	$20.67	$25.33	$34.92