Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $13.49 / $34.67	Facility	26	$9.33	$13.49	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $40.74 / $112.20	Professional		$28.84	$40.74	$112.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $14.79 / $28.18	Professional	26	$8.51	$14.79	$28.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.84 / $74.13	Professional	TC	$20.89	$28.84	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.88 / $95.50	Professional		$26.30	$33.88	$95.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $13.18 / $33.88	Professional	26	$13.18	$13.18	$33.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $61.66 / $81.28	Professional		$38.90	$61.66	$81.28
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $16.60 / $22.39	Professional	26	$10.23	$16.60	$22.39
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $44.67 / $58.88	Professional	TC	$28.18	$44.67	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $63.10 / $117.49	Professional		$47.86	$63.10	$117.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $18.62 / $31.62	Professional	26	$12.59	$18.62	$31.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $45.71 / $87.10	Professional	TC	$34.67	$45.71	$87.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $70.79 / $107.15	Professional		$44.67	$70.79	$107.15
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $18.62 / $27.54	Professional	26	$12.02	$18.62	$27.54
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $48.98 / $75.86	Professional	TC	$33.11	$48.98	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $51.29 / $97.72	Professional		$37.15	$51.29	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $14.79 / $25.70	Professional	26	$9.12	$14.79	$25.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $37.15 / $67.61	Professional	TC	$25.70	$37.15	$67.61
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $7.94 / $7.94	Facility	26	$7.94	$7.94	$7.94