Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.46 / $146.13 / $476.64	Facility		$37.46	$146.13	$476.64
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.65 / $12.11 / $27.04	Facility	26	$7.65	$12.11	$27.04
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.12 / $69.22 / $343.42	Facility	TC	$21.12	$69.22	$343.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.46 / $28.52 / $78.78	Professional		$21.46	$28.52	$78.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.16 / $7.22 / $19.96	Professional	26	$6.16	$7.22	$19.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.29 / $21.12 / $57.99	Professional	TC	$15.29	$21.12	$57.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.90 / $9.99 / $25.68	Professional	26	$5.90	$9.99	$25.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.02 / $152.09 / $168.96	Facility		$121.02	$152.09	$168.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $41.79 / $59.09	Professional		$28.46	$41.79	$59.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $11.40 / $16.12	Professional	26	$7.76	$11.40	$16.12
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $42.69 / $62.68 / $88.64	Professional	50	$42.69	$62.68	$88.64
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.70 / $30.39 / $42.97	Professional	TC	$20.70	$30.39	$42.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.79 / $157.60 / $521.64	Facility		$99.79	$157.60	$521.64
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $149.44 / $149.44 / $149.44	Facility	TC	$149.44	$149.44	$149.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.32 / $57.20 / $89.72	Professional		$36.32	$57.20	$89.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.72 / $15.54 / $24.01	Professional	26	$9.72	$15.54	$24.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.60 / $42.12 / $65.70	Professional	TC	$26.60	$42.12	$65.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $32.59 / $57.80 / $107.35	Professional		$32.59	$57.80	$107.35
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $8.89 / $14.90 / $29.28	Professional	26	$8.89	$14.90	$29.28
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $23.70 / $42.12 / $78.06	Professional	TC	$23.70	$42.12	$78.06
United Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $37.53 / $70.58	Professional		$28.90	$37.53	$70.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.60 / $11.39 / $38.44	Professional	26	$7.60	$11.39	$38.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.18 / $26.13 / $50.01	Professional	TC	$21.18	$26.13	$50.01
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $26.51 / $40.04	Professional		$22.70	$26.51	$40.04
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $6.48 / $7.59 / $10.33	Professional	26	$6.48	$7.59	$10.33
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $16.07 / $18.94 / $26.06	Professional	TC	$16.07	$18.94	$26.06