Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.67 / $153.06 / $257.66	Facility	26	$63.67	$153.06	$257.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.73 / $366.58 / $1,141.66	Professional		$207.73	$366.58	$1,141.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.85 / $63.67 / $178.22	Professional	26	$51.85	$63.67	$178.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $155.88 / $306.18 / $963.40	Professional	TC	$155.88	$306.18	$963.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $195.19 / $207.09 / $209.60	Professional		$195.19	$207.09	$209.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.67 / $81.59 / $209.58	Professional	26	$50.67	$81.59	$209.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.30 / $545.28 / $771.13	Professional		$241.30	$545.28	$771.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.40 / $135.46 / $191.56	Professional	26	$63.40	$135.46	$191.56
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $177.91 / $409.82 / $579.55	Professional	TC	$177.91	$409.82	$579.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.58 / $83.58 / $83.58	Facility	26	$83.58	$83.58	$83.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.60 / $615.79 / $1,055.21	Professional		$340.60	$615.79	$1,055.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.58 / $133.41 / $195.96	Professional	26	$80.58	$133.41	$195.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $257.72 / $474.09 / $858.92	Professional	TC	$257.72	$474.09	$858.92
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $292.17 / $519.24 / $962.44	Professional		$292.17	$519.24	$962.44
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $72.58 / $128.99 / $239.09	Professional	26	$72.58	$128.99	$239.09
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $219.59 / $390.26 / $723.35	Professional	TC	$219.59	$390.26	$723.35
United Facility/Professional Professional Modifier Low / Median / High Price $351.44 / $424.66 / $717.55	Professional		$351.44	$424.66	$717.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.14 / $92.72 / $187.90	Professional	26	$64.14	$92.72	$187.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $264.38 / $317.22 / $533.52	Professional	TC	$264.38	$317.22	$533.52
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $200.16 / $275.42 / $424.06	Professional		$200.16	$275.42	$424.06
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $53.49 / $64.12 / $86.74	Professional	26	$53.49	$64.12	$86.74
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $146.28 / $175.54 / $360.34	Professional	TC	$146.28	$175.54	$360.34