Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $128.82 / $269.15	Facility	26	$102.33	$128.82	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $426.58 / $977.24	Professional		$251.19	$426.58	$977.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $128.82 / $223.87	Professional	26	$70.79	$128.82	$223.87
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $213.80 / $213.80 / $1,995.26	Professional	52	$213.80	$213.80	$1,995.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $302.00 / $602.56	Professional	TC	$181.97	$302.00	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $186.21 / $549.54	Professional		$154.88	$186.21	$549.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $53.70 / $218.78	Professional	26	$53.70	$53.70	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $537.03 / $776.25	Professional		$229.09	$537.03	$776.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $154.88 / $223.87	Professional	26	$66.07	$154.88	$223.87
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $371.54 / $588.84	Professional	TC	$162.18	$371.54	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $588.84 / $1,258.93	Professional		$309.03	$588.84	$1,258.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $144.54 / $213.80	Professional	26	$87.10	$144.54	$213.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $436.52 / $1,047.13	Professional	TC	$223.87	$436.52	$1,047.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $436.52 / $645.65	Professional		$269.15	$436.52	$645.65
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $120.23 / $186.21	Professional	26	$77.62	$120.23	$186.21
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $295.12 / $457.09	Professional	TC	$190.55	$295.12	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $467.74 / $851.14	Professional		$275.42	$467.74	$851.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $97.72 / $194.98	Professional	26	$66.07	$97.72	$194.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $302.00 / $660.69	Professional	TC	$194.98	$302.00	$660.69
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $51.29 / $51.29	Facility	26	$43.65	$51.29	$51.29