Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.49 / $81.45 / $213.37	Facility	26	$46.49	$81.45	$213.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.66 / $231.03 / $689.27	Professional		$134.66	$231.03	$689.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.00 / $46.49 / $130.38	Professional	26	$37.00	$46.49	$130.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.67 / $184.55 / $558.89	Professional	TC	$97.67	$184.55	$558.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.79 / $58.30 / $149.75	Professional	26	$34.79	$58.30	$149.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.77 / $272.98 / $395.82	Professional		$127.77	$272.98	$395.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.29 / $96.75 / $136.82	Professional	26	$45.29	$96.75	$136.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $82.48 / $176.23 / $252.69	Professional	TC	$82.48	$176.23	$252.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.83 / $68.83 / $68.83	Facility	26	$68.83	$68.83	$68.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.30 / $305.02 / $607.34	Professional		$175.30	$305.02	$607.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.02 / $95.85 / $141.41	Professional	26	$58.02	$95.85	$141.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $115.24 / $199.13 / $476.28	Professional	TC	$115.24	$199.13	$476.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $146.27 / $259.95 / $481.83	Professional		$146.27	$259.95	$481.83
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $51.84 / $89.67 / $170.77	Professional	26	$51.84	$89.67	$170.77
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $94.43 / $167.82 / $311.06	Professional	TC	$94.43	$167.82	$311.06
United Facility/Professional Professional Modifier Low / Median / High Price $195.68 / $271.76 / $497.58	Professional		$195.68	$271.76	$497.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.89 / $66.23 / $134.08	Professional	26	$52.89	$66.23	$134.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $133.54 / $155.81 / $357.66	Professional	TC	$133.54	$155.81	$357.66
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $124.22 / $170.93 / $249.85	Professional		$124.22	$170.93	$249.85
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $38.47 / $47.72 / $66.87	Professional	26	$38.47	$47.72	$66.87
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $85.75 / $102.90 / $197.16	Professional	TC	$85.75	$102.90	$197.16