Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.48 / $19.50 / $40.74	Facility	26	$11.48	$19.50	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $117.49	Professional		$28.18	$38.02	$117.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $14.13 / $32.36	Professional	26	$7.94	$14.13	$32.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $25.12 / $63.10	Professional	TC	$19.05	$25.12	$63.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $53.70 / $77.62	Professional		$34.67	$53.70	$77.62
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $15.49 / $22.39	Professional	26	$10.00	$15.49	$22.39
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $38.02 / $52.48	Professional	TC	$25.12	$38.02	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $63.10 / $104.71	Professional		$44.67	$63.10	$104.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $20.42 / $30.20	Professional	26	$12.02	$20.42	$30.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $43.65 / $75.86	Professional	TC	$30.90	$43.65	$75.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $64.57 / $95.50	Professional		$38.90	$64.57	$95.50
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $17.78 / $26.30	Professional	26	$11.48	$17.78	$26.30
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $44.67 / $66.07	Professional	TC	$28.84	$44.67	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $47.86 / $91.20	Professional		$35.48	$47.86	$91.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $14.45 / $27.54	Professional	26	$10.72	$14.45	$27.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $33.11 / $60.26	Professional	TC	$24.55	$33.11	$60.26
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $6.31 / $7.41 / $7.41	Facility	26	$6.31	$7.41	$7.41