Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $89.13 / $234.42	Facility	26	$57.54	$89.13	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $316.23 / $1,174.90	Professional		$229.09	$316.23	$1,174.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $93.33 / $199.53	Professional	26	$54.95	$93.33	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $229.09 / $478.63	Professional	TC	$169.82	$229.09	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $46.77 / $190.55	Professional	26	$46.77	$46.77	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $537.03 / $776.25	Professional		$229.09	$537.03	$776.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $134.90 / $194.98	Professional	26	$58.88	$134.90	$194.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $398.11 / $588.84	Professional	TC	$169.82	$398.11	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $524.81 / $831.76	Professional		$316.23	$524.81	$831.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $123.03 / $181.97	Professional	26	$75.86	$123.03	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $416.87 / $660.69	Professional	TC	$234.42	$416.87	$660.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $416.87 / $630.96	Professional		$269.15	$416.87	$630.96
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $104.71 / $154.88	Professional	26	$67.61	$104.71	$154.88
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $316.23 / $457.09	Professional	TC	$199.53	$316.23	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $660.69	Professional		$251.19	$363.08	$660.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $85.11 / $158.49	Professional	26	$60.26	$85.11	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $281.84 / $457.09	Professional	TC	$190.55	$281.84	$457.09
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $44.67 / $44.67	Facility	26	$38.02	$44.67	$44.67