Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.80 / $11.80 / $16.85	Facility	26	$11.80	$11.80	$16.85
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.48 / $32.13 / $439.04	Facility	TC	$22.48	$32.13	$439.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $34.28 / $66.20	Professional		$27.02	$34.28	$66.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.93 / $10.82 / $21.71	Professional	26	$8.93	$10.82	$21.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.09 / $22.48 / $49.47	Professional	TC	$18.09	$22.48	$49.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.63 / $38.26 / $87.24	Professional		$27.63	$38.26	$87.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $13.75 / $35.31	Professional	26	$8.52	$13.75	$35.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $52.71 / $74.54	Professional		$35.90	$52.71	$74.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.67 / $15.67 / $22.16	Professional	26	$10.67	$15.67	$22.16
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.23 / $37.04 / $52.38	Professional	TC	$25.23	$37.04	$52.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.39 / $73.67 / $112.12	Professional		$45.39	$73.67	$112.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.90 / $22.21 / $32.01	Professional	26	$13.90	$22.21	$32.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.43 / $48.50 / $80.11	Professional	TC	$32.43	$48.50	$80.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $67.61 / $135.38	Professional		$37.72	$67.61	$135.38
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $12.22 / $19.20 / $40.25	Professional	26	$12.22	$19.20	$40.25
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $28.88 / $48.09 / $95.13	Professional	TC	$28.88	$48.09	$95.13
United Facility/Professional Professional Modifier Low / Median / High Price $36.45 / $47.39 / $85.98	Professional		$36.45	$47.39	$85.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.07 / $15.42 / $31.20	Professional	26	$12.07	$15.42	$31.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.78 / $31.73 / $56.50	Professional	TC	$24.78	$31.73	$56.50
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $33.43 / $50.49	Professional		$28.62	$33.43	$50.49
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $10.69 / $15.45	Professional	26	$8.91	$10.69	$15.45
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $19.52 / $22.96 / $31.65	Professional	TC	$19.52	$22.96	$31.65