Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.78 / $258.70 / $468.00	Facility		$29.78	$258.70	$468.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.66 / $11.58 / $31.04	Facility	26	$8.66	$11.58	$31.04
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.12 / $73.14 / $411.82	Facility	TC	$21.12	$73.14	$411.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $29.78 / $81.95	Professional		$20.80	$29.78	$81.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.67 / $8.13 / $22.60	Professional	26	$6.67	$8.13	$22.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $21.12 / $59.35	Professional	TC	$14.13	$21.12	$59.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $75.52 / $75.52	Professional		$25.48	$75.52	$75.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.98 / $9.57 / $24.56	Professional	26	$5.98	$9.57	$24.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.19 / $166.12 / $184.55	Facility		$132.19	$166.12	$184.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $45.59 / $64.47	Professional		$31.05	$45.59	$64.47
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.44 / $10.92 / $15.44	Professional	26	$7.44	$10.92	$15.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.61 / $34.67 / $49.03	Professional	TC	$23.61	$34.67	$49.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.85 / $169.28 / $521.64	Facility		$113.85	$169.28	$521.64
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $168.49 / $168.49 / $168.49	Facility	TC	$168.49	$168.49	$168.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $64.20 / $97.95	Professional		$39.65	$64.20	$97.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.71 / $16.00 / $23.40	Professional	26	$9.71	$16.00	$23.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.35 / $45.63 / $74.97	Professional	TC	$30.35	$45.63	$74.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $59.57 / $117.11	Professional		$33.63	$59.57	$117.11
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $13.88 / $28.07	Professional	26	$8.52	$13.88	$28.07
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $27.03 / $46.76 / $89.04	Professional	TC	$27.03	$46.76	$89.04
United Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $48.43 / $88.78	Professional		$35.11	$48.43	$88.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $11.26 / $38.44	Professional	26	$8.46	$11.26	$38.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.41 / $30.03 / $57.13	Professional	TC	$25.41	$30.03	$57.13
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $25.02 / $30.02 / $44.14	Professional		$25.02	$30.02	$44.14
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $6.52 / $7.97 / $10.50	Professional	26	$6.52	$7.97	$10.50
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $18.25 / $22.02 / $29.78	Professional	TC	$18.25	$22.02	$29.78