Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.58 / $9.58 / $17.20	Facility	26	$9.58	$9.58	$17.20
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.71 / $20.71 / $187.16	Facility	TC	$20.71	$20.71	$187.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.26 / $30.32 / $51.40	Professional		$23.26	$30.32	$51.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.07 / $8.83 / $15.82	Professional	26	$7.07	$8.83	$15.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.19 / $20.71 / $37.77	Professional	TC	$16.19	$20.71	$37.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $26.25 / $26.25	Professional		$26.25	$26.25	$26.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.65 / $7.03 / $20.57	Professional	26	$6.65	$7.03	$20.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.35 / $47.49 / $67.16	Professional		$32.35	$47.49	$67.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.73 / $12.82 / $18.13	Professional	26	$8.73	$12.82	$18.13
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 Professional Modifier Low / Median / High Price $40.86 / $63.09 / $100.97	Professional		$40.86	$63.09	$100.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.40 / $18.18 / $27.03	Professional	26	$11.40	$18.18	$27.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.93 / $43.86 / $73.94	Professional	TC	$29.93	$43.86	$73.94
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $58.19 / $121.98	Professional		$35.58	$58.19	$121.98
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $15.40 / $28.07	Professional	26	$10.00	$15.40	$28.07
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $27.03 / $48.04 / $89.04	Professional	TC	$27.03	$48.04	$89.04
United Facility/Professional Professional Modifier Low / Median / High Price $32.14 / $41.17 / $76.91	Professional		$32.14	$41.17	$76.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.81 / $12.65 / $24.15	Professional	26	$9.81	$12.65	$24.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.38 / $30.28 / $56.12	Professional	TC	$22.38	$30.28	$56.12
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $24.04 / $29.50 / $44.56	Professional		$24.04	$29.50	$44.56
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $7.28 / $8.57 / $12.16	Professional	26	$7.28	$8.57	$12.16
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $16.30 / $20.61 / $28.85	Professional	TC	$16.30	$20.61	$28.85