Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $16.14 / $34.99	Facility	26	$9.33	$16.14	$34.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $35.32 / $97.32	Professional		$25.81	$35.32	$97.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $9.33 / $24.26	Professional	26	$7.03	$9.33	$24.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.78 / $25.99 / $73.05	Professional	TC	$18.78	$25.99	$73.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.69 / $40.69 / $54.78	Professional		$40.69	$40.69	$54.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $10.19 / $34.22	Professional	26	$8.27	$10.19	$34.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $56.04 / $79.25	Professional		$38.17	$56.04	$79.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $15.20 / $21.45	Professional	26	$10.35	$15.20	$21.45
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.82 / $40.84 / $57.72	Professional	TC	$27.82	$40.84	$57.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.72 / $72.18 / $120.35	Professional		$48.72	$72.18	$120.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.89 / $18.78 / $32.01	Professional	26	$12.89	$18.78	$32.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.76 / $52.40 / $88.34	Professional	TC	$35.76	$52.40	$88.34
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $75.59 / $143.94	Professional		$43.70	$75.59	$143.94
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.85 / $19.48 / $36.58	Professional	26	$11.85	$19.48	$36.58
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $31.85 / $53.03 / $104.92	Professional	TC	$31.85	$53.03	$104.92
United Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $50.21 / $89.57	Professional		$38.61	$50.21	$89.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.17 / $15.42 / $24.08	Professional	26	$9.17	$15.42	$24.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.97 / $34.72 / $65.00	Professional	TC	$26.97	$34.72	$65.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $35.46 / $53.56	Professional		$28.87	$35.46	$53.56
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $8.06 / $10.29 / $13.43	Professional	26	$8.06	$10.29	$13.43
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $20.84 / $25.00 / $40.53	Professional	TC	$20.84	$25.00	$40.53