Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.40 / $23.17 / $58.81	Facility	26	$15.40	$23.17	$58.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $48.01 / $134.60	Professional		$34.36	$48.01	$134.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.79 / $13.78 / $40.00	Professional	26	$11.79	$13.78	$40.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $33.65 / $94.60	Professional	TC	$22.57	$33.65	$94.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.34 / $11.96 / $19.13	Professional	26	$11.34	$11.96	$19.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.52 / $71.23 / $100.74	Professional		$48.52	$71.23	$100.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.88 / $21.85 / $30.90	Professional	26	$14.88	$21.85	$30.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.64 / $49.39 / $69.84	Professional	TC	$33.64	$49.39	$69.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.87 / $95.08 / $152.83	Professional		$61.87	$95.08	$152.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.88 / $30.79 / $44.94	Professional	26	$18.88	$30.79	$44.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.67 / $63.38 / $107.89	Professional	TC	$43.67	$63.38	$107.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $55.55 / $98.72 / $182.99	Professional		$55.55	$98.72	$182.99
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $17.03 / $28.01 / $56.10	Professional	26	$17.03	$28.01	$56.10
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $38.51 / $68.44 / $126.86	Professional	TC	$38.51	$68.44	$126.86
United Facility/Professional Professional Modifier Low / Median / High Price $49.08 / $62.87 / $115.16	Professional		$49.08	$62.87	$115.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.92 / $20.39 / $43.65	Professional	26	$15.92	$20.39	$43.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.61 / $42.69 / $78.81	Professional	TC	$33.61	$42.69	$78.81
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $45.28 / $67.98	Professional		$38.54	$45.28	$67.98
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $12.17 / $14.58 / $19.66	Professional	26	$12.17	$14.58	$19.66
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $26.14 / $31.33 / $42.39	Professional	TC	$26.14	$31.33	$42.39