Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $81.28 / $213.80	Facility	26	$46.77	$81.28	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $416.87	Professional		$131.83	$218.78	$416.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $72.44 / $169.82	Professional	26	$43.65	$72.44	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $128.82 / $309.03	Professional	TC	$83.18	$128.82	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $37.15 / $154.88	Professional	26	$34.67	$37.15	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $302.00 / $436.52	Professional		$128.82	$302.00	$436.52
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $104.71 / $151.36	Professional	26	$46.77	$104.71	$151.36
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $194.98 / $309.03	Professional	TC	$83.18	$194.98	$309.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $69.18 / $69.18	Facility	26	$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $338.84 / $630.96	Professional		$177.83	$338.84	$630.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $100.00 / $147.91	Professional	26	$58.88	$100.00	$147.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $234.42 / $489.78	Professional	TC	$117.49	$234.42	$489.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $363.08	Professional		$151.36	$239.88	$363.08
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $83.18 / $123.03	Professional	26	$53.70	$83.18	$123.03
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $154.88 / $229.09	Professional	TC	$97.72	$154.88	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $457.09	Professional		$158.49	$251.19	$457.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $67.61 / $123.03	Professional	26	$51.29	$67.61	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $162.18 / $316.23	Professional	TC	$102.33	$162.18	$316.23
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $29.51 / $34.67 / $34.67	Facility	26	$29.51	$34.67	$34.67