Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.78 / $105.52 / $408.80	Facility		$29.78	$105.52	$408.80
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.32 / $12.60 / $31.04	Facility	26	$8.32	$12.60	$31.04
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.46 / $74.52 / $382.50	Facility	TC	$21.46	$74.52	$382.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.81 / $29.78 / $81.95	Professional		$21.81	$29.78	$81.95
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 $15.29 / $21.46 / $60.32	Professional	TC	$15.29	$21.46	$60.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.71 / $33.79 / $77.09	Professional		$25.71	$33.79	$77.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.16 / $6.75 / $19.28	Professional	26	$6.16	$6.75	$19.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.93 / $169.57 / $188.37	Facility		$134.93	$169.57	$188.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $46.54 / $65.81	Professional		$31.70	$46.54	$65.81
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 $23.61 / $34.67 / $48.94	Professional	TC	$23.61	$34.67	$48.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.85 / $160.52 / $521.64	Facility		$113.85	$160.52	$521.64
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $168.49 / $168.49 / $168.49	Facility	TC	$168.49	$168.49	$168.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $64.20 / $99.98	Professional		$40.47	$64.20	$99.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.37 / $16.80 / $25.01	Professional	26	$10.37	$16.80	$25.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.35 / $46.39 / $74.97	Professional	TC	$30.35	$46.39	$74.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $30.50 / $59.70 / $119.54	Professional		$30.50	$59.70	$119.54
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.26 / $14.04 / $25.99	Professional	26	$9.26	$14.04	$25.99
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $27.03 / $48.04 / $89.04	Professional	TC	$27.03	$48.04	$89.04
United Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $40.72 / $72.31	Professional		$31.76	$40.72	$72.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $11.33 / $23.61	Professional	26	$8.46	$11.33	$23.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.66 / $30.77 / $49.99	Professional	TC	$23.66	$30.77	$49.99
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $29.20 / $44.10	Professional		$24.73	$29.20	$44.10
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 $17.28 / $21.27 / $29.32	Professional	TC	$17.28	$21.27	$29.32