Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.44 / $15.94 / $32.38	Facility	26	$9.44	$15.94	$32.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $34.40 / $88.59	Professional		$25.75	$34.40	$88.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.96 / $8.25 / $24.74	Professional	26	$6.96	$8.25	$24.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.78 / $24.95 / $63.63	Professional	TC	$18.78	$24.95	$63.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $31.41 / $66.93	Professional		$29.71	$31.41	$66.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.05 / $6.47 / $19.02	Professional	26	$6.05	$6.47	$19.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.82 / $56.99 / $80.59	Professional		$38.82	$56.99	$80.59
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $11.87 / $16.93	Professional	26	$8.09	$11.87	$16.93
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $58.23 / $85.48 / $120.89	Professional	50	$58.23	$85.48	$120.89
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.73 / $45.12 / $63.80	Professional	TC	$30.73	$45.12	$63.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.50 / $66.17 / $122.64	Professional		$44.50	$66.17	$122.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.45 / $16.77 / $24.53	Professional	26	$10.45	$16.77	$24.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.61 / $51.15 / $98.63	Professional	TC	$33.61	$51.15	$98.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $46.31 / $88.16 / $146.38	Professional		$46.31	$88.16	$146.38
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.26 / $16.02 / $30.50	Professional	26	$9.26	$16.02	$30.50
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $35.18 / $63.19 / $115.89	Professional	TC	$35.18	$63.19	$115.89
United Facility/Professional Professional Modifier Low / Median / High Price $30.46 / $50.56 / $89.49	Professional		$30.46	$50.56	$89.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $11.75 / $23.80	Professional	26	$8.46	$11.75	$23.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.23 / $39.40 / $74.87	Professional	TC	$24.23	$39.40	$74.87
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $36.34 / $54.88	Professional		$29.83	$36.34	$54.88
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $6.81 / $8.14 / $10.97	Professional	26	$6.81	$8.14	$10.97
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $21.50 / $27.95 / $39.11	Professional	TC	$21.50	$27.95	$39.11