Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.47 / $24.77 / $40.29	Facility	26	$11.47	$24.77	$40.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $52.17 / $143.83	Professional		$31.54	$52.17	$143.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.68 / $10.75 / $29.88	Professional	26	$8.68	$10.75	$29.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.86 / $40.96 / $112.92	Professional	TC	$22.86	$40.96	$112.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.03 / $32.03 / $32.38	Professional		$32.03	$32.03	$32.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.26 / $8.64 / $13.33	Professional	26	$8.26	$8.64	$13.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $57.94 / $83.08	Professional		$39.46	$57.94	$83.08
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $15.20 / $21.49	Professional	26	$10.35	$15.20	$21.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.11 / $42.74 / $60.44	Professional	TC	$29.11	$42.74	$60.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.62 / $84.40 / $124.87	Professional		$52.62	$84.40	$124.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.23 / $21.70 / $32.36	Professional	26	$13.23	$21.70	$32.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.07 / $62.22 / $92.46	Professional	TC	$39.07	$62.22	$92.46
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $45.18 / $80.29 / $148.83	Professional		$45.18	$80.29	$148.83
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.85 / $19.48 / $36.58	Professional	26	$11.85	$19.48	$36.58
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $33.33 / $57.65 / $109.79	Professional	TC	$33.33	$57.65	$109.79
United Facility/Professional Professional Modifier Low / Median / High Price $46.79 / $54.64 / $91.53	Professional		$46.79	$54.64	$91.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.55 / $15.18 / $33.02	Professional	26	$11.55	$15.18	$33.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.33 / $38.60 / $75.98	Professional	TC	$33.33	$38.60	$75.98
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $38.69 / $58.04	Professional		$31.54	$38.69	$58.04
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $8.63 / $10.25 / $13.99	Professional	26	$8.63	$10.25	$13.99
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $22.85 / $27.42 / $43.28	Professional	TC	$22.85	$27.42	$43.28