Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $190.55 / $467.74	Facility		$28.18	$190.55	$467.74
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $9.33 / $19.95	Facility	26	$9.33	$9.33	$19.95
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.62 / $30.90 / $346.74	Facility	TC	$18.62	$30.90	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $95.50	Professional		$22.91	$30.90	$95.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.55 / $30.20	Professional	26	$7.08	$9.55	$30.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $20.89 / $53.70	Professional	TC	$15.14	$20.89	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $43.65	Professional		$19.05	$22.91	$43.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $11.22 / $27.54	Professional	26	$6.61	$11.22	$27.54
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $15.85 / $24.55	Professional	TC	$13.80	$15.85	$24.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $165.96 / $186.21	Facility		$131.83	$165.96	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $46.77 / $67.61	Professional		$29.51	$46.77	$67.61
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $13.49 / $19.50	Professional	26	$8.71	$13.49	$19.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $33.11 / $44.67	Professional	TC	$20.89	$33.11	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $181.97 / $524.81	Facility		$100.00	$181.97	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $89.13	Professional		$38.90	$51.29	$89.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $17.38 / $25.70	Professional	26	$10.47	$17.38	$25.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $35.48 / $64.57	Professional	TC	$26.30	$35.48	$64.57
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $54.95 / $81.28	Professional		$34.67	$54.95	$81.28
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $15.49 / $22.91	Professional	26	$10.00	$15.49	$22.91
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $38.02 / $56.23	Professional	TC	$24.55	$38.02	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $40.74 / $74.13	Professional		$29.51	$40.74	$74.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $12.30 / $23.44	Professional	26	$9.33	$12.30	$23.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $28.18 / $50.12	Professional	TC	$19.95	$28.18	$50.12
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $5.50 / $6.46 / $6.46	Facility	26	$5.50	$6.46	$6.46
Well Sense Facility/Professional Facility Modifier TC Low / Median / High Price $14.45 / $16.98 / $16.98	Facility	TC	$14.45	$16.98	$16.98