Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $19.05 / $38.02	Facility	26	$10.72	$19.05	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $34.67 / $120.23	Professional		$22.91	$34.67	$120.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.47 / $30.90	Professional	26	$7.08	$10.47	$30.90
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.20 / $33.88 / $54.95	Professional	52	$30.20	$33.88	$54.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $20.89 / $53.70	Professional	TC	$15.14	$20.89	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $66.07	Professional		$30.20	$45.71	$66.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $14.13 / $20.42	Professional	26	$9.33	$14.13	$20.42
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $30.90 / $44.67	Professional	TC	$20.89	$30.90	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $58.88 / $95.50	Professional		$38.02	$58.88	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $19.05 / $27.54	Professional	26	$10.96	$19.05	$27.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $45.71 / $70.79	Professional	TC	$26.30	$45.71	$70.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $54.95 / $81.28	Professional		$33.11	$54.95	$81.28
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $15.85 / $24.55	Professional	26	$10.72	$15.85	$24.55
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $38.02 / $56.23	Professional	TC	$24.55	$38.02	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $93.33	Professional		$33.88	$43.65	$93.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $12.59 / $26.92	Professional	26	$9.77	$12.59	$26.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $31.62 / $64.57	Professional	TC	$22.91	$31.62	$64.57
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $5.75 / $6.76 / $6.76	Facility	26	$5.75	$6.76	$6.76