Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.98 / $11.55 / $29.73	Facility	26	$7.98	$11.55	$29.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $29.10 / $80.11	Professional		$21.71	$29.10	$80.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.42 / $7.48 / $20.79	Professional	26	$6.42	$7.48	$20.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.29 / $21.12 / $57.99	Professional	TC	$15.29	$21.12	$57.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $54.91 / $77.11	Professional		$25.70	$54.91	$77.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.22 / $6.47 / $25.68	Professional	26	$6.22	$6.47	$25.68
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 $7.76 / $11.40 / $16.12	Professional	26	$7.76	$11.40	$16.12
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $47.55 / $69.81 / $98.72	Professional	50	$47.55	$69.81	$98.72
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.94 / $35.14 / $49.60	Professional	TC	$23.94	$35.14	$49.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.49 / $57.97 / $100.01	Professional		$40.49	$57.97	$100.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.76 / $16.07 / $24.01	Professional	26	$9.76	$16.07	$24.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.76 / $42.33 / $75.83	Professional	TC	$30.76	$42.33	$75.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $64.48 / $119.54	Professional		$36.29	$64.48	$119.54
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $8.89 / $15.38 / $29.28	Professional	26	$8.89	$15.38	$29.28
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $27.40 / $48.70 / $90.26	Professional	TC	$27.40	$48.70	$90.26
United Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $39.36 / $71.45	Professional		$28.37	$39.36	$71.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $10.88 / $22.81	Professional	26	$8.36	$10.88	$22.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.32 / $30.03 / $50.70	Professional	TC	$23.32	$30.03	$50.70
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $24.12 / $29.22 / $44.14	Professional		$24.12	$29.22	$44.14
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $6.48 / $7.62 / $10.79	Professional	26	$6.48	$7.62	$10.79
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $16.96 / $21.61 / $29.78	Professional	TC	$16.96	$21.61	$29.78