Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $158.49 / $416.87	Facility	26	$128.82	$158.49	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $537.03 / $2,238.72	Professional		$363.08	$537.03	$2,238.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $158.49 / $346.74	Professional	26	$97.72	$158.49	$346.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $354.81 / $1,288.25	Professional	TC	$257.04	$354.81	$1,288.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $263.03 / $1,148.15	Professional		$229.09	$263.03	$1,148.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $128.82 / $331.13	Professional	26	$77.62	$128.82	$331.13
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $281.84 / $281.84	Professional	TC	$281.84	$281.84	$281.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $794.33 / $1,148.15	Professional		$338.84	$794.33	$1,148.15
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $234.42 / $338.84	Professional	26	$102.33	$234.42	$338.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $549.54 / $870.96	Professional	TC	$234.42	$549.54	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $812.83 / $1,905.46	Professional		$457.09	$812.83	$1,905.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $208.93 / $323.59	Professional	26	$128.82	$208.93	$323.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $588.84 / $1,584.89	Professional	TC	$331.13	$588.84	$1,584.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $616.60 / $954.99	Professional		$389.05	$616.60	$954.99
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $181.97 / $275.42	Professional	26	$117.49	$181.97	$275.42
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $426.58 / $660.69	Professional	TC	$275.42	$426.58	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $691.83 / $1,348.96	Professional		$398.11	$691.83	$1,348.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $147.91 / $309.03	Professional	26	$102.33	$147.91	$309.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $446.68 / $1,023.29	Professional	TC	$281.84	$446.68	$1,023.29
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $77.62 / $77.62	Facility	26	$66.07	$77.62	$77.62