Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.44 / $13.44 / $24.15	Facility	26	$13.44	$13.44	$24.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $39.74 / $69.79	Professional		$30.41	$39.74	$69.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.85 / $12.36 / $22.89	Professional	26	$9.85	$12.36	$22.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.56 / $26.28 / $47.63	Professional	TC	$20.56	$26.28	$47.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.53 / $28.25 / $39.61	Professional	26	$9.53	$28.25	$39.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.73 / $61.26 / $86.63	Professional		$41.73	$61.26	$86.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.97 / $17.57 / $24.84	Professional	26	$11.97	$17.57	$24.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.76 / $43.69 / $61.78	Professional	TC	$29.76	$43.69	$61.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.84 / $82.76 / $130.54	Professional		$52.84	$82.76	$130.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.66 / $25.09 / $37.04	Professional	26	$15.66	$25.09	$37.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.84 / $55.45 / $93.48	Professional	TC	$37.84	$55.45	$93.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $91.01 / $157.36	Professional		$47.79	$91.01	$157.36
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $13.70 / $22.58 / $45.13	Professional	26	$13.70	$22.58	$45.13
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $34.07 / $59.84 / $112.23	Professional	TC	$34.07	$59.84	$112.23
United Facility/Professional Professional Modifier Low / Median / High Price $46.44 / $56.63 / $139.56	Professional		$46.44	$56.63	$139.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.70 / $16.66 / $33.90	Professional	26	$13.70	$16.66	$33.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.51 / $36.86 / $66.69	Professional	TC	$28.51	$36.86	$66.69
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $38.75 / $58.53	Professional		$31.19	$38.75	$58.53
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $10.26 / $12.07 / $16.96	Professional	26	$10.26	$12.07	$16.96
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $20.32 / $26.28 / $36.79	Professional	TC	$20.32	$26.28	$36.79