Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.98 / $11.58 / $28.35	Facility	26	$7.98	$11.58	$28.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.97 / $28.39 / $77.47	Professional		$20.97	$28.39	$77.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.97 / $7.98 / $20.79	Professional	26	$5.97	$7.98	$20.79
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.49 / $13.82 / $16.14	Professional	52	$10.49	$13.82	$16.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.00 / $20.42 / $55.71	Professional	TC	$15.00	$20.42	$55.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $66.81	Professional		$29.29	$29.29	$66.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.21 / $14.26 / $24.56	Professional	26	$6.21	$14.26	$24.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $40.36 / $57.09	Professional		$27.49	$40.36	$57.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.44 / $10.92 / $15.44	Professional	26	$7.44	$10.92	$15.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $41.23 / $60.55 / $85.63	Professional	50	$41.23	$60.55	$85.63
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.05 / $29.44 / $41.63	Professional	TC	$20.05	$29.44	$41.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.49 / $55.57 / $87.66	Professional		$35.49	$55.57	$87.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.53 / $15.44 / $22.99	Professional	26	$9.53	$15.44	$22.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.18 / $39.93 / $64.68	Professional	TC	$26.18	$39.93	$64.68
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $31.48 / $52.75 / $103.70	Professional		$31.48	$52.75	$103.70
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $14.02 / $26.30	Professional	26	$8.52	$14.02	$26.30
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $22.96 / $38.22 / $75.63	Professional	TC	$22.96	$38.22	$75.63
United Facility/Professional Professional Modifier Low / Median / High Price $28.53 / $35.31 / $58.49	Professional		$28.53	$35.31	$58.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.63 / $10.42 / $21.68	Professional	26	$7.63	$10.42	$21.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.62 / $27.34 / $50.86	Professional	TC	$20.62	$27.34	$50.86
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $26.17 / $39.53	Professional		$22.41	$26.17	$39.53
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $6.19 / $7.42 / $10.02	Professional	26	$6.19	$7.42	$10.02
Well Sense Facility/Professional Professional Modifier 52 Low / Median / High Price $5.58 / $6.70 / $7.53	Professional	52	$5.58	$6.70	$7.53
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $15.17 / $18.62 / $24.29	Professional	TC	$15.17	$18.62	$24.29