Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.48 / $15.85 / $40.74	Facility	26	$11.48	$15.85	$40.74
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $30.90 / $102.33 / $575.44	Facility	TC	$30.90	$102.33	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $44.67 / $134.90	Professional		$14.79	$44.67	$134.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $20.89 / $46.77	Professional	26	$9.77	$20.89	$46.77
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $45.71 / $190.55 / $416.87	Professional	50	$45.71	$190.55	$416.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $37.15 / $100.00	Professional	TC	$26.92	$37.15	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $77.62	Professional		$32.36	$40.74	$77.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $13.80 / $16.98	Professional	26	$8.32	$13.80	$16.98
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $56.23 / $61.66 / $234.42	Professional	50	$56.23	$61.66	$234.42
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $28.84 / $57.54	Professional	TC	$25.12	$28.84	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $74.13 / $97.72	Professional		$48.98	$74.13	$97.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $16.98 / $24.55	Professional	26	$10.96	$16.98	$24.55
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $112.20 / $147.91	Professional	50	$74.13	$112.20	$147.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $56.23 / $75.86	Professional	TC	$38.02	$56.23	$75.86
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	TC	$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $75.86 / $141.25	Professional		$54.95	$75.86	$141.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $21.88 / $33.11	Professional	26	$13.18	$21.88	$33.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $56.23 / $109.65	Professional	TC	$38.02	$56.23	$109.65
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $89.13 / $134.90	Professional		$57.54	$89.13	$134.90
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $19.95 / $29.51	Professional	26	$12.88	$19.95	$29.51
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $70.79 / $102.33	Professional	TC	$44.67	$70.79	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $61.66 / $123.03	Professional		$39.81	$61.66	$123.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $15.14 / $29.51	Professional	26	$10.72	$15.14	$29.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $46.77 / $91.20	Professional	TC	$28.84	$46.77	$91.20
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $8.32 / $8.32	Facility	26	$7.08	$8.32	$8.32
Well Sense Facility/Professional Facility Modifier TC Low / Median / High Price $24.55 / $28.84 / $28.84	Facility	TC	$24.55	$28.84	$28.84