Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.57 / $38.99 / $38.99	Facility	26	$14.57	$38.99	$38.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.97 / $42.36 / $116.53	Professional		$29.97	$42.36	$116.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $10.78 / $29.05	Professional	26	$8.27	$10.78	$29.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.69 / $30.85 / $86.59	Professional	TC	$21.69	$30.85	$86.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $15.00 / $38.53	Professional	26	$9.27	$15.00	$38.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $59.84 / $84.62	Professional		$40.76	$59.84	$84.62
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.64 / $17.10 / $24.18	Professional	26	$11.64	$17.10	$24.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.11 / $42.74 / $60.44	Professional	TC	$29.11	$42.74	$60.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.44 / $79.34 / $129.54	Professional		$52.44	$79.34	$129.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.56 / $21.36 / $36.06	Professional	26	$14.56	$21.36	$36.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.79 / $58.21 / $94.56	Professional	TC	$38.79	$58.21	$94.56
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $82.92 / $153.69	Professional		$44.14	$82.92	$153.69
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $13.33 / $21.93 / $43.91	Professional	26	$13.33	$21.93	$43.91
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $33.33 / $59.86 / $109.79	Professional	TC	$33.33	$59.86	$109.79
United Facility/Professional Professional Modifier Low / Median / High Price $42.92 / $55.19 / $137.41	Professional		$42.92	$55.19	$137.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.36 / $16.32 / $27.71	Professional	26	$10.36	$16.32	$27.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.78 / $36.59 / $73.83	Professional	TC	$28.78	$36.59	$73.83
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $37.77 / $57.05	Professional		$32.34	$37.77	$57.05
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $11.25 / $14.67	Professional	26	$9.27	$11.25	$14.67
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $22.56 / $26.85 / $36.76	Professional	TC	$22.56	$26.85	$36.76