Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.29 / $9.51 / $23.05	Facility	26	$6.29	$9.51	$23.05
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.55 / $54.12 / $376.77	Facility	TC	$23.55	$54.12	$376.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $29.83 / $80.25	Professional		$21.96	$29.83	$80.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.92 / $6.29 / $16.30	Professional	26	$4.92	$6.29	$16.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.04 / $23.55 / $62.49	Professional	TC	$17.04	$23.55	$62.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $30.02 / $68.48	Professional		$21.64	$30.02	$68.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.96 / $7.89 / $20.28	Professional	26	$4.96	$7.89	$20.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.14 / $41.32 / $58.43	Professional		$28.14	$41.32	$58.43
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.15 / $9.02 / $12.85	Professional	26	$6.15	$9.02	$12.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.00 / $32.29 / $45.66	Professional	TC	$22.00	$32.29	$45.66
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $121.69 / $121.69 / $121.69	Facility	TC	$121.69	$121.69	$121.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $53.63 / $90.29	Professional		$36.36	$53.63	$90.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $12.74 / $18.97	Professional	26	$7.78	$12.74	$18.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.68 / $42.03 / $71.67	Professional	TC	$28.68	$42.03	$71.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $61.39 / $106.14	Professional		$32.22	$61.39	$106.14
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $7.04 / $12.18 / $23.19	Professional	26	$7.04	$12.18	$23.19
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $25.19 / $47.97 / $82.95	Professional	TC	$25.19	$47.97	$82.95
United Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $36.60 / $72.52	Professional		$26.81	$36.60	$72.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.45 / $8.61 / $16.95	Professional	26	$6.45	$8.61	$16.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.65 / $28.14 / $58.14	Professional	TC	$21.65	$28.14	$58.14
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $22.49 / $26.52 / $39.67	Professional		$22.49	$26.52	$39.67
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $5.09 / $6.05 / $8.27	Professional	26	$5.09	$6.05	$8.27
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $17.30 / $20.65 / $28.98	Professional	TC	$17.30	$20.65	$28.98