Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $165.96 / $436.52	Facility	26	$128.82	$165.96	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $2,238.72	Professional		$331.13	$524.81	$2,238.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $177.83 / $354.81	Professional	26	$109.65	$177.83	$354.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $338.84 / $870.96	Professional	TC	$234.42	$338.84	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $275.42 / $537.03	Professional		$223.87	$275.42	$537.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $85.11 / $346.74	Professional	26	$85.11	$85.11	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $741.31 / $1,071.52	Professional		$316.23	$741.31	$1,071.52
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 / $776.25	Professional	TC	$213.80	$489.78	$776.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $141.25 / $141.25	Facility	26	$141.25	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $758.58 / $1,778.28	Professional		$436.52	$758.58	$1,778.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $218.78 / $331.13	Professional	26	$134.90	$218.78	$331.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $512.86 / $1,513.56	Professional	TC	$295.12	$512.86	$1,513.56
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $575.44 / $912.01	Professional		$371.54	$575.44	$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 $107.15 / $154.88 / $309.03	Professional	26	$107.15	$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