Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.03 / $31.04 / $31.04	Facility	26	$12.03	$31.04	$31.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $30.12 / $82.92	Professional		$22.10	$30.12	$82.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.52 / $7.78 / $21.62	Professional	26	$6.52	$7.78	$21.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.58 / $21.81 / $61.29	Professional	TC	$15.58	$21.81	$61.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $26.49 / $26.49	Professional		$26.49	$26.49	$26.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.09 / $6.48 / $19.05	Professional	26	$6.09	$6.48	$19.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.67 / $47.96 / $67.81	Professional		$32.67	$47.96	$67.81
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 $24.58 / $36.09 / $50.94	Professional	TC	$24.58	$36.09	$50.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.30 / $60.36 / $102.03	Professional		$41.30	$60.36	$102.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.37 / $16.23 / $23.98	Professional	26	$10.37	$16.23	$23.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.49 / $43.14 / $77.91	Professional	TC	$31.49	$43.14	$77.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $62.27 / $123.20	Professional		$34.27	$62.27	$123.20
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.26 / $14.62 / $30.50	Professional	26	$9.26	$14.62	$30.50
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $28.14 / $49.42 / $92.70	Professional	TC	$28.14	$49.42	$92.70
United Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $42.22 / $73.25	Professional		$32.11	$42.22	$73.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $11.33 / $22.33	Professional	26	$8.46	$11.33	$22.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.21 / $30.34 / $54.15	Professional	TC	$23.21	$30.34	$54.15
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $29.88 / $45.12	Professional		$25.05	$29.88	$45.12
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 $17.61 / $21.95 / $30.25	Professional	TC	$17.61	$21.95	$30.25