Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $208.93 / $467.74	Facility	26	$128.82	$208.93	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $2,398.83	Professional		$346.74	$478.63	$2,398.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $186.21 / $389.05	Professional	26	$109.65	$186.21	$389.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $338.84 / $1,047.13	Professional	TC	$239.88	$338.84	$1,047.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $138.04 / $346.74	Professional	26	$85.11	$138.04	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $741.31 / $1,096.48	Professional		$316.23	$741.31	$1,096.48
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $245.47 / $354.81	Professional	26	$104.71	$245.47	$354.81
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $489.78 / $794.33	Professional	TC	$213.80	$489.78	$794.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $154.88 / $154.88 / $154.88	Facility	26	$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $758.58 / $1,737.80	Professional		$436.52	$758.58	$1,737.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $218.78 / $346.74	Professional	26	$134.90	$218.78	$346.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $524.81 / $1,479.11	Professional	TC	$302.00	$524.81	$1,479.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $588.84 / $912.01	Professional		$371.54	$588.84	$912.01
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $190.55 / $288.40	Professional	26	$123.03	$190.55	$288.40
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $389.05 / $602.56	Professional	TC	$251.19	$389.05	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $616.60 / $1,230.27	Professional		$371.54	$616.60	$1,230.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $154.88 / $309.03	Professional	26	$112.20	$154.88	$309.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $398.11 / $891.25	Professional	TC	$251.19	$398.11	$891.25
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $81.28 / $81.28	Facility	26	$69.18	$81.28	$81.28