Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.48 / $178.64 / $297.95	Facility	26	$115.48	$178.64	$297.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $475.00 / $1,320.50	Professional		$400.00	$475.00	$1,320.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.10 / $127.50 / $297.95	Professional	26	$108.10	$127.50	$297.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.41 / $335.00 / $931.29	Professional	TC	$281.41	$335.00	$931.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $252.41 / $252.41 / $252.41	Professional		$252.41	$252.41	$252.41
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $59.17 / $59.60 / $59.60	Professional	26	$59.17	$59.60	$59.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.29 / $656.55 / $928.49	Professional		$307.29	$656.55	$928.49
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.06 / $158.26 / $223.81	Professional	26	$74.06	$158.26	$223.81
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $233.22 / $498.28 / $707.93	Professional	TC	$233.22	$498.28	$707.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.95 / $738.78 / $1,304.41	Professional		$425.95	$738.78	$1,304.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.27 / $157.38 / $228.00	Professional	26	$93.27	$157.38	$228.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $325.37 / $573.25 / $1,107.10	Professional	TC	$325.37	$573.25	$1,107.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $351.79 / $625.20 / $1,158.83	Professional		$351.79	$625.20	$1,158.83
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $84.80 / $150.71 / $279.33	Professional	26	$84.80	$150.71	$279.33
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $266.99 / $474.49 / $879.49	Professional	TC	$266.99	$474.49	$879.49
United Facility/Professional Professional Modifier Low / Median / High Price $462.04 / $558.29 / $1,052.47	Professional		$462.04	$558.29	$1,052.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.27 / $105.08 / $219.81	Professional	26	$74.27	$105.08	$219.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $360.52 / $432.52 / $832.29	Professional	TC	$360.52	$432.52	$832.29
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $512.87 / $681.00 / $1,044.58	Professional		$512.87	$681.00	$1,044.58
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $62.41 / $74.80 / $101.20	Professional	26	$62.41	$74.80	$101.20
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $449.91 / $608.71 / $852.13	Professional	TC	$449.91	$608.71	$852.13