Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.67 / $15.61 / $40.29	Facility	26	$10.67	$15.61	$40.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $38.02 / $105.69	Professional		$26.87	$38.02	$105.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.08 / $9.55 / $27.74	Professional	26	$8.08	$9.55	$27.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.78 / $27.73 / $77.95	Professional	TC	$18.78	$27.73	$77.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $31.30 / $92.82	Professional		$29.33	$31.30	$92.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.99 / $13.32 / $34.22	Professional	26	$7.99	$13.32	$34.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $56.04 / $79.25	Professional		$38.17	$56.04	$79.25
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 $27.82 / $40.84 / $57.72	Professional	TC	$27.82	$40.84	$57.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.14 / $80.59 / $121.38	Professional		$49.14	$80.59	$121.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.96 / $21.44 / $32.01	Professional	26	$12.96	$21.44	$32.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.18 / $59.16 / $89.36	Professional	TC	$36.18	$59.16	$89.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $75.59 / $143.94	Professional		$43.70	$75.59	$143.94
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.85 / $19.48 / $36.58	Professional	26	$11.85	$19.48	$36.58
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $31.85 / $53.03 / $104.92	Professional	TC	$31.85	$53.03	$104.92
United Facility/Professional Professional Modifier Low / Median / High Price $40.09 / $49.95 / $81.11	Professional		$40.09	$49.95	$81.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.20 / $15.33 / $29.28	Professional	26	$11.20	$15.33	$29.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.67 / $36.00 / $61.14	Professional	TC	$27.67	$36.00	$61.14
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $30.39 / $35.79 / $54.07	Professional		$30.39	$35.79	$54.07
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $8.88 / $10.45 / $13.92	Professional	26	$8.88	$10.45	$13.92
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $21.28 / $25.54 / $34.92	Professional	TC	$21.28	$25.54	$34.92