Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.32 / $18.62 / $30.90	Facility	26	$8.32	$18.62	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $95.50	Professional		$23.99	$33.11	$95.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.91 / $25.12	Professional	26	$6.03	$8.91	$25.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $22.91 / $51.29	Professional	TC	$16.98	$22.91	$51.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $10.72 / $10.72	Professional	26	$10.72	$10.72	$10.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $69.18	Professional		$33.88	$52.48	$69.18
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $12.88 / $18.20	Professional	26	$8.32	$12.88	$18.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $38.90 / $52.48	Professional	TC	$25.12	$38.90	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.70 / $100.00	Professional		$40.74	$53.70	$100.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $16.60 / $23.99	Professional	26	$10.00	$16.60	$23.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $40.74 / $77.62	Professional	TC	$30.20	$40.74	$77.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $64.57 / $93.33	Professional		$39.81	$64.57	$93.33
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $15.14 / $21.88	Professional	26	$9.55	$15.14	$21.88
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $45.71 / $67.61	Professional	TC	$29.51	$45.71	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $44.67 / $85.11	Professional		$32.36	$44.67	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $11.75 / $22.39	Professional	26	$8.51	$11.75	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $33.11 / $60.26	Professional	TC	$21.38	$33.11	$60.26
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $5.13 / $6.03 / $6.03	Facility	26	$5.13	$6.03	$6.03