Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.28 / $63.27 / $300.05	Facility		$31.28	$63.27	$300.05
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.76 / $12.11 / $29.73	Facility	26	$8.76	$12.11	$29.73
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.51 / $71.95 / $414.61	Facility	TC	$22.51	$71.95	$414.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.87 / $31.28 / $83.12	Professional		$22.87	$31.28	$83.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.42 / $8.76 / $22.87	Professional	26	$6.42	$8.76	$22.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $52.88 / $52.88 / $52.88	Professional	50	$52.88	$52.88	$52.88
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.22 / $15.64 / $18.70	Professional	52	$11.22	$15.64	$18.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.45 / $22.51 / $60.24	Professional	TC	$16.45	$22.51	$60.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.90 / $6.47 / $14.85	Professional	26	$5.90	$6.47	$14.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.13 / $174.86 / $194.25	Facility		$139.13	$174.86	$194.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.67 / $47.96 / $67.81	Professional		$32.67	$47.96	$67.81
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 $49.00 / $71.94 / $101.73	Professional	50	$49.00	$71.94	$101.73
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.91 / $36.57 / $51.62	Professional	TC	$24.91	$36.57	$51.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.66 / $182.79 / $521.64	Facility		$121.66	$182.79	$521.64
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $141.15 / $141.15 / $141.15	Facility	TC	$141.15	$141.15	$141.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.15 / $58.35 / $104.12	Professional		$42.15	$58.35	$104.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.03 / $16.07 / $24.27	Professional	26	$10.03	$16.07	$24.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.73 / $42.88 / $80.11	Professional	TC	$29.73	$42.88	$80.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $65.69 / $123.20	Professional		$37.40	$65.69	$123.20
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $8.89 / $14.66 / $29.28	Professional	26	$8.89	$14.66	$29.28
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $28.51 / $49.32 / $93.91	Professional	TC	$28.51	$49.32	$93.91
United Facility/Professional Professional Modifier Low / Median / High Price $32.35 / $56.78 / $112.44	Professional		$32.35	$56.78	$112.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.64 / $10.88 / $21.45	Professional	26	$7.64	$10.88	$21.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.76 / $31.73 / $53.72	Professional	TC	$23.76	$31.73	$53.72
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $30.58 / $46.18	Professional		$25.40	$30.58	$46.18
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $6.48 / $7.66 / $10.50	Professional	26	$6.48	$7.66	$10.50
Well Sense Facility/Professional Professional Modifier 52 Low / Median / High Price $5.75 / $6.90 / $7.76	Professional	52	$5.75	$6.90	$7.76
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $18.25 / $22.96 / $31.65	Professional	TC	$18.25	$22.96	$31.65