Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $9.55 / $17.38	Facility	26	$9.55	$9.55	$17.38
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.89 / $38.02 / $194.98	Facility	TC	$20.89	$38.02	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.90 / $104.71	Professional		$19.95	$30.90	$104.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.77 / $22.39	Professional	26	$7.08	$9.77	$22.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $21.88 / $47.86	Professional	TC	$15.85	$21.88	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $34.67	Professional		$25.12	$25.12	$34.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $7.24 / $20.89	Professional	26	$7.08	$7.24	$20.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $69.18	Professional		$33.88	$52.48	$69.18
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $14.13 / $20.42	Professional	26	$9.12	$14.13	$20.42
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $38.02 / $50.12	Professional	TC	$24.55	$38.02	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $56.23 / $100.00	Professional		$41.69	$56.23	$100.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $18.20 / $26.92	Professional	26	$10.96	$18.20	$26.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $38.90 / $74.13	Professional	TC	$29.51	$38.90	$74.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $60.26 / $89.13	Professional		$37.15	$60.26	$89.13
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $16.22 / $23.44	Professional	26	$10.47	$16.22	$23.44
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $45.71 / $66.07	Professional	TC	$28.84	$45.71	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $44.67 / $85.11	Professional		$32.36	$44.67	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $12.59 / $23.99	Professional	26	$9.77	$12.59	$23.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $31.62 / $58.88	Professional	TC	$21.88	$31.62	$58.88
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $5.75 / $6.76 / $6.76	Facility	26	$5.75	$6.76	$6.76
Well Sense Facility/Professional Facility Modifier TC Low / Median / High Price $16.22 / $19.05 / $19.05	Facility	TC	$16.22	$19.05	$19.05