Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.29 / $14.64 / $27.04	Facility	26	$7.29	$14.64	$27.04
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $16.57 / $56.99 / $297.35	Facility	TC	$16.57	$56.99	$297.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $23.58 / $65.58	Professional		$17.96	$23.58	$65.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.87 / $6.82 / $18.95	Professional	26	$5.87	$6.82	$18.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.09 / $15.12 / $46.62	Professional	TC	$12.09	$15.12	$46.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.72 / $13.63 / $23.51	Professional	26	$5.72	$13.63	$23.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.03 / $30.87 / $44.26	Professional		$21.03	$30.87	$44.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.12 / $10.45 / $14.77	Professional	26	$7.12	$10.45	$14.77
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $31.54 / $46.30 / $65.48	Professional	50	$31.54	$46.30	$65.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.91 / $20.42 / $28.87	Professional	TC	$13.91	$20.42	$28.87
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $135.58 / $135.58 / $135.58	Facility	TC	$135.58	$135.58	$135.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.93 / $44.79 / $66.84	Professional		$27.93	$44.79	$66.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $14.86 / $21.99	Professional	26	$9.27	$14.86	$21.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.64 / $29.54 / $44.62	Professional	TC	$18.64	$29.54	$44.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $38.01 / $79.29	Professional		$17.03	$38.01	$79.29
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $8.15 / $14.10 / $26.85	Professional	26	$8.15	$14.10	$26.85
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $15.92 / $28.29 / $52.44	Professional	TC	$15.92	$28.29	$52.44
United Facility/Professional Professional Modifier Low / Median / High Price $24.48 / $28.98 / $59.45	Professional		$24.48	$28.98	$59.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.28 / $9.96 / $20.56	Professional	26	$7.28	$9.96	$20.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.59 / $19.50 / $41.35	Professional	TC	$16.59	$19.50	$41.35
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $20.32 / $30.07	Professional		$16.93	$20.32	$30.07
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $5.92 / $7.09 / $9.60	Professional	26	$5.92	$7.09	$9.60
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $10.97 / $13.16 / $19.35	Professional	TC	$10.97	$13.16	$19.35