Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.85 / $31.04 / $31.04	Facility	26	$11.85	$31.04	$31.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $30.60 / $82.95	Professional		$23.24	$30.60	$82.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.96 / $8.55 / $23.76	Professional	26	$6.96	$8.55	$23.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.32 / $20.62 / $59.10	Professional	TC	$16.32	$20.62	$59.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.48 / $56.48 / $56.48	Professional		$56.48	$56.48	$56.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.72 / $6.77 / $16.07	Professional	26	$6.72	$6.77	$16.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.29 / $34.19 / $49.57	Professional		$23.29	$34.19	$49.57
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $12.35 / $17.46	Professional	26	$8.41	$12.35	$17.46
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $34.93 / $51.28 / $72.52	Professional	50	$34.93	$51.28	$72.52
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.88 / $21.85 / $31.68	Professional	TC	$14.88	$21.85	$31.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.04 / $49.92 / $73.23	Professional		$31.04	$49.92	$73.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.76 / $17.44 / $26.23	Professional	26	$10.76	$17.44	$26.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.94 / $31.84 / $47.26	Professional	TC	$19.94	$31.84	$47.26
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $26.66 / $46.12 / $87.82	Professional		$26.66	$46.12	$87.82
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.63 / $15.88 / $31.72	Professional	26	$9.63	$15.88	$31.72
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $17.03 / $28.54 / $56.10	Professional	TC	$17.03	$28.54	$56.10
United Facility/Professional Professional Modifier Low / Median / High Price $29.06 / $36.60 / $77.90	Professional		$29.06	$36.60	$77.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $11.40 / $23.27	Professional	26	$8.46	$11.40	$23.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.82 / $25.39 / $54.63	Professional	TC	$19.82	$25.39	$54.63
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $26.52 / $39.72	Professional		$22.10	$26.52	$39.72
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $7.02 / $8.26 / $11.38	Professional	26	$7.02	$8.26	$11.38
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $15.03 / $17.89 / $26.51	Professional	TC	$15.03	$17.89	$26.51