Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.73 / $351.53 / $351.53	Facility	26	$86.73	$351.53	$351.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.04 / $392.47 / $1,218.97	Professional		$242.04	$392.47	$1,218.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.08 / $86.74 / $242.83	Professional	26	$67.08	$86.74	$242.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $174.96 / $310.24 / $976.14	Professional	TC	$174.96	$310.24	$976.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.45 / $195.49 / $273.45	Professional	26	$66.45	$195.49	$273.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.70 / $643.41 / $909.91	Professional		$260.70	$643.41	$909.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.81 / $176.92 / $250.20	Professional	26	$82.81	$176.92	$250.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $177.91 / $466.49 / $659.71	Professional	TC	$177.91	$466.49	$659.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.45 / $717.32 / $1,258.80	Professional		$401.45	$717.32	$1,258.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.84 / $173.30 / $253.80	Professional	26	$105.84	$173.30	$253.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $293.32 / $531.74 / $965.62	Professional	TC	$293.32	$531.74	$965.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $344.75 / $612.69 / $1,135.64	Professional		$344.75	$612.69	$1,135.64
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $94.80 / $163.98 / $312.27	Professional	26	$94.80	$163.98	$312.27
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $249.95 / $443.26 / $823.36	Professional	TC	$249.95	$443.26	$823.36
United Facility/Professional Professional Modifier Low / Median / High Price $407.06 / $614.35 / $1,086.56	Professional		$407.06	$614.35	$1,086.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.06 / $119.81 / $244.77	Professional	26	$89.06	$119.81	$244.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $294.62 / $353.50 / $600.50	Professional	TC	$294.62	$353.50	$600.50
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $215.89 / $297.06 / $505.10	Professional		$215.89	$297.06	$505.10
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $69.61 / $86.32 / $112.06	Professional	26	$69.61	$86.32	$112.06
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $146.28 / $181.39 / $418.51	Professional	TC	$146.28	$181.39	$418.51