Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $19.10 / $37.68	Facility	26	$10.80	$19.10	$37.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $34.52 / $105.38	Professional		$27.54	$34.52	$105.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $9.44 / $28.21	Professional	26	$8.02	$9.44	$28.21
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.68 / $13.99 / $19.44	Professional	52	$13.68	$13.99	$19.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.42 / $25.05 / $76.42	Professional	TC	$19.42	$25.05	$76.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $6.98 / $6.98	Professional	26	$6.98	$6.98	$6.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.14 / $41.32 / $59.91	Professional		$28.14	$41.32	$59.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.73 / $12.82 / $18.18	Professional	26	$8.73	$12.82	$18.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.41 / $28.49 / $41.31	Professional	TC	$19.41	$28.49	$41.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $60.28 / $88.63	Professional		$37.46	$60.28	$88.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.43 / $18.30 / $27.32	Professional	26	$11.43	$18.30	$27.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.03 / $41.51 / $61.59	Professional	TC	$26.03	$41.51	$61.59
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $57.88 / $106.14	Professional		$28.33	$57.88	$106.14
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $16.29 / $32.94	Professional	26	$10.00	$16.29	$32.94
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $22.22 / $37.22 / $73.19	Professional	TC	$22.22	$37.22	$73.19
United Facility/Professional Professional Modifier Low / Median / High Price $34.43 / $41.75 / $80.23	Professional		$34.43	$41.75	$80.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.99 / $12.20 / $26.83	Professional	26	$9.99	$12.20	$26.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.52 / $29.79 / $64.84	Professional	TC	$25.52	$29.79	$64.84
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $30.96 / $46.89	Professional		$24.97	$30.96	$46.89
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $7.34 / $9.10 / $12.05	Professional	26	$7.34	$9.10	$12.05
Well Sense Facility/Professional Professional Modifier 52 Low / Median / High Price $7.79 / $9.35 / $10.52	Professional	52	$7.79	$9.35	$10.52
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $17.63 / $21.16 / $31.10	Professional	TC	$17.63	$21.16	$31.10