Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $20.42 / $46.77	Facility	26	$20.42	$20.42	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $100.00 / $245.47	Professional		$67.61	$100.00	$245.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $23.44 / $47.86	Professional	26	$16.22	$23.44	$47.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $74.13 / $194.98	Professional	TC	$51.29	$74.13	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $154.88 / $204.17	Professional		$97.72	$154.88	$204.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $30.90 / $43.65	Professional	26	$19.50	$30.90	$43.65
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $120.23 / $162.18	Professional	TC	$79.43	$120.23	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $302.00	Professional		$117.49	$158.49	$302.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $38.90 / $58.88	Professional	26	$24.55	$38.90	$58.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $125.89 / $239.88	Professional	TC	$93.33	$125.89	$239.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $263.03	Professional		$114.82	$177.83	$263.03
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $35.48 / $52.48	Professional	26	$22.91	$35.48	$52.48
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $144.54 / $208.93	Professional	TC	$91.20	$144.54	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $245.47	Professional		$95.50	$128.82	$245.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $27.54 / $52.48	Professional	26	$20.89	$27.54	$52.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $102.33 / $190.55	Professional	TC	$67.61	$102.33	$190.55
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $15.14 / $15.14	Facility	26	$12.88	$15.14	$15.14