Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.48 / $20.42 / $40.74	Facility	26	$11.48	$20.42	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $44.67 / $104.71	Professional		$32.36	$44.67	$104.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.79 / $31.62	Professional	26	$8.91	$14.79	$31.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $32.36 / $77.62	Professional	TC	$22.91	$32.36	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $40.74 / $77.62	Professional		$34.67	$40.74	$77.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $10.72 / $13.18	Professional	26	$9.55	$10.72	$13.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $63.10 / $91.20	Professional		$41.69	$63.10	$91.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $16.60 / $23.99	Professional	26	$10.72	$16.60	$23.99
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $46.77 / $67.61	Professional	TC	$31.62	$46.77	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $75.86 / $123.03	Professional		$52.48	$75.86	$123.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $21.88 / $32.36	Professional	26	$12.88	$21.88	$32.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $57.54 / $91.20	Professional	TC	$38.90	$57.54	$91.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $75.86 / $112.20	Professional		$48.98	$75.86	$112.20
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $19.50 / $28.18	Professional	26	$12.30	$19.50	$28.18
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $56.23 / $83.18	Professional	TC	$36.31	$56.23	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $109.65	Professional		$43.65	$56.23	$109.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $15.14 / $28.84	Professional	26	$10.72	$15.14	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $41.69 / $79.43	Professional	TC	$31.62	$41.69	$79.43
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $6.76 / $7.94 / $7.94	Facility	26	$6.76	$7.94	$7.94