Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.58 / $40.29 / $40.29	Facility	26	$15.58	$40.29	$40.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $42.71 / $125.29	Professional		$30.65	$42.71	$125.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.08 / $10.45 / $27.74	Professional	26	$8.08	$10.45	$27.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $32.26 / $97.55	Professional	TC	$22.57	$32.26	$97.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.03 / $11.14 / $13.21	Professional	26	$9.03	$11.14	$13.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.34 / $63.64 / $89.99	Professional		$43.34	$63.64	$89.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.32 / $16.62 / $23.50	Professional	26	$11.32	$16.62	$23.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.02 / $47.02 / $66.48	Professional	TC	$32.02	$47.02	$66.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.36 / $91.58 / $136.74	Professional		$55.36	$91.58	$136.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.18 / $21.92 / $35.03	Professional	26	$14.18	$21.92	$35.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.99 / $68.12 / $101.72	Professional	TC	$42.99	$68.12	$101.72
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $49.62 / $87.15 / $163.44	Professional		$49.62	$87.15	$163.44
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $12.96 / $21.32 / $40.00	Professional	26	$12.96	$21.32	$40.00
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $36.65 / $65.15 / $120.76	Professional	TC	$36.65	$65.15	$120.76
United Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $57.80 / $107.27	Professional		$47.50	$57.80	$107.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.32 / $16.42 / $56.00	Professional	26	$11.32	$16.42	$56.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.17 / $43.81 / $110.55	Professional	TC	$37.17	$43.81	$110.55
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $41.24 / $60.63	Professional		$34.36	$41.24	$60.63
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $9.23 / $11.08 / $14.24	Professional	26	$9.23	$11.08	$14.24
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $24.88 / $29.86 / $40.04	Professional	TC	$24.88	$29.86	$40.04