Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.92 / $348.19 / $717.07	Facility		$49.92	$348.19	$717.07
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.66 / $12.03 / $31.04	Facility	26	$8.66	$12.03	$31.04
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.42 / $91.00 / $526.99	Facility	TC	$28.42	$91.00	$526.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $37.10 / $91.10	Professional		$27.79	$37.10	$91.10
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 $21.11 / $28.43 / $76.06	Professional	TC	$21.11	$28.43	$76.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $42.85 / $97.73	Professional		$30.70	$42.85	$97.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.16 / $10.41 / $26.73	Professional	26	$6.16	$10.41	$26.73
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $46.05 / $64.27 / $146.59	Professional	50	$46.05	$64.27	$146.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.13 / $215.06 / $238.91	Facility		$171.13	$215.06	$238.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $58.89 / $83.28	Professional		$40.11	$58.89	$83.28
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $11.87 / $16.78	Professional	26	$8.09	$11.87	$16.78
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $60.16 / $88.33 / $124.92	Professional	50	$60.16	$88.33	$124.92
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.02 / $47.02 / $66.37	Professional	TC	$32.02	$47.02	$66.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.91 / $215.97 / $521.64	Facility		$152.91	$215.97	$521.64
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $152.26 / $152.26 / $152.26	Facility	TC	$152.26	$152.26	$152.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $68.63 / $126.72	Professional		$46.60	$68.63	$126.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.37 / $16.94 / $25.01	Professional	26	$10.37	$16.94	$25.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.77 / $54.45 / $101.72	Professional	TC	$37.77	$54.45	$101.72
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $79.43 / $151.27	Professional		$45.92	$79.43	$151.27
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.26 / $15.23 / $28.58	Professional	26	$9.26	$15.23	$28.58
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $36.65 / $64.39 / $120.76	Professional	TC	$36.65	$64.39	$120.76
United Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $50.54 / $96.41	Professional		$34.27	$50.54	$96.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $11.86 / $22.40	Professional	26	$9.02	$11.86	$22.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.01 / $39.22 / $69.47	Professional	TC	$27.01	$39.22	$69.47
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $36.29 / $54.83	Professional		$31.08	$36.29	$54.83
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $6.73 / $8.07 / $10.91	Professional	26	$6.73	$8.07	$10.91
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $23.74 / $28.31 / $39.11	Professional	TC	$23.74	$28.31	$39.11