Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.42 / $208.42 / $595.52	Facility		$27.42	$208.42	$595.52
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.09 / $12.03 / $31.04	Facility	26	$9.09	$12.03	$31.04
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.32 / $48.46 / $440.44	Facility	TC	$18.32	$48.46	$440.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $27.07 / $75.28	Professional		$21.38	$27.07	$75.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.67 / $8.55 / $23.76	Professional	26	$6.67	$8.55	$23.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.71 / $18.32 / $51.51	Professional	TC	$14.71	$18.32	$51.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.97 / $65.98 / $65.98	Professional		$20.97	$65.98	$65.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.48 / $7.94 / $26.73	Professional	26	$6.48	$7.94	$26.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.42 / $145.05 / $161.13	Facility		$115.42	$145.05	$161.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.17 / $39.89 / $57.19	Professional		$27.17	$39.89	$57.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $11.87 / $16.78	Professional	26	$8.09	$11.87	$16.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.07 / $28.02 / $40.17	Professional	TC	$19.07	$28.02	$40.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.98 / $183.73 / $640.01	Facility		$91.98	$183.73	$640.01
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $149.44 / $149.44 / $149.44	Facility	TC	$149.44	$149.44	$149.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.17 / $58.01 / $86.10	Professional		$36.17	$58.01	$86.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.37 / $16.94 / $25.25	Professional	26	$10.37	$16.94	$25.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.60 / $40.56 / $61.26	Professional	TC	$25.60	$40.56	$61.26
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $55.29 / $102.48	Professional		$31.11	$55.29	$102.48
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.26 / $15.08 / $30.50	Professional	26	$9.26	$15.08	$30.50
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $21.85 / $38.83 / $71.98	Professional	TC	$21.85	$38.83	$71.98
United Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $37.53 / $82.54	Professional		$29.14	$37.53	$82.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $14.09 / $25.74	Professional	26	$9.02	$14.09	$25.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.66 / $26.85 / $52.70	Professional	TC	$20.66	$26.85	$52.70
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $22.68 / $26.49 / $42.15	Professional		$22.68	$26.49	$42.15
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $6.73 / $8.07 / $10.91	Professional	26	$6.73	$8.07	$10.91
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $15.78 / $18.92 / $28.05	Professional	TC	$15.78	$18.92	$28.05