Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.47 / $19.70 / $40.29	Facility	26	$11.47	$19.70	$40.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.01 / $33.34 / $101.97	Professional		$26.01	$33.34	$101.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.68 / $10.02 / $29.88	Professional	26	$8.68	$10.02	$29.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.32 / $24.36 / $72.08	Professional	TC	$17.32	$24.36	$72.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $81.76 / $81.76	Professional		$25.90	$81.76	$81.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $7.76 / $7.76	Professional	26	$7.76	$7.76	$7.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.64 / $49.39 / $69.84	Professional		$33.64	$49.39	$69.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.69 / $14.25 / $20.14	Professional	26	$9.69	$14.25	$20.14
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.94 / $35.14 / $49.60	Professional	TC	$23.94	$35.14	$49.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.80 / $71.00 / $107.20	Professional		$44.80	$71.00	$107.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.69 / $20.32 / $30.33	Professional	26	$12.69	$20.32	$30.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.83 / $50.89 / $76.00	Professional	TC	$31.83	$50.89	$76.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $38.51 / $66.61 / $126.86	Professional		$38.51	$66.61	$126.86
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.11 / $18.30 / $34.29	Professional	26	$11.11	$18.30	$34.29
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $27.40 / $48.70 / $90.26	Professional	TC	$27.40	$48.70	$90.26
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.39 / $78.58	Professional		$38.02	$44.39	$78.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $14.06 / $29.42	Professional	26	$10.72	$14.06	$29.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.64 / $31.74 / $50.92	Professional	TC	$27.64	$31.74	$50.92
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $27.22 / $32.65 / $48.02	Professional		$27.22	$32.65	$48.02
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $8.42 / $10.15 / $13.56	Professional	26	$8.42	$10.15	$13.56
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $18.66 / $22.36 / $30.25	Professional	TC	$18.66	$22.36	$30.25