Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $125.89 / $257.04	Facility	26	$63.10	$125.89	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $707.95	Professional		$229.09	$323.59	$707.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $83.18 / $190.55	Professional	26	$60.26	$83.18	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $218.78 / $457.09	Professional	TC	$169.82	$218.78	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $186.21	Professional		$181.97	$181.97	$186.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $81.28 / $208.93	Professional	26	$47.86	$81.28	$208.93
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $141.25 / $141.25	Professional	TC	$141.25	$141.25	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $602.56 / $891.25	Professional		$245.47	$602.56	$891.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $147.91 / $213.80	Professional	26	$64.57	$147.91	$213.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $446.68 / $660.69	Professional	TC	$177.83	$446.68	$660.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $83.18 / $83.18	Facility	26	$83.18	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $616.60 / $1,096.48	Professional		$354.81	$616.60	$1,096.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $134.90 / $204.17	Professional	26	$83.18	$134.90	$204.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $467.74 / $891.25	Professional	TC	$263.03	$467.74	$891.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $691.83	Professional		$302.00	$467.74	$691.83
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $114.82 / $169.82	Professional	26	$74.13	$114.82	$169.82
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $354.81 / $512.86	Professional	TC	$229.09	$354.81	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $724.44	Professional		$288.40	$426.58	$724.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $93.33 / $173.78	Professional	26	$66.07	$93.33	$173.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $331.13 / $524.81	Professional	TC	$218.78	$331.13	$524.81
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $48.98 / $48.98	Facility	26	$41.69	$48.98	$48.98