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 Low / Median / High Price $309.45 / $309.45 / $309.45	Professional		$309.45	$309.45	$309.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.79 / $66.05 / $149.75	Professional	26	$34.79	$66.05	$149.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $272.29 / $394.82	Professional		$127.45	$272.29	$394.82
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 $82.16 / $175.54 / $251.70	Professional	TC	$82.16	$175.54	$251.70
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 $174.84 / $309.11 / $607.34	Professional		$174.84	$309.11	$607.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.02 / $95.85 / $142.34	Professional	26	$58.02	$95.85	$142.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $114.79 / $202.91 / $475.59	Professional	TC	$114.79	$202.91	$475.59
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $259.29 / $480.61	Professional		$145.90	$259.29	$480.61
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $51.84 / $91.93 / $170.77	Professional	26	$51.84	$91.93	$170.77
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $94.06 / $162.69 / $309.83	Professional	TC	$94.06	$162.69	$309.83
United Facility/Professional Professional Modifier Low / Median / High Price $194.78 / $235.36 / $452.52	Professional		$194.78	$235.36	$452.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.89 / $66.63 / $122.59	Professional	26	$52.89	$66.63	$122.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $132.63 / $160.28 / $359.92	Professional	TC	$132.63	$160.28	$359.92
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $123.64 / $170.13 / $249.49	Professional		$123.64	$170.13	$249.49
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 $85.17 / $102.20 / $196.79	Professional	TC	$85.17	$102.20	$196.79