Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.35 / $35.35 / $49.86	Facility	26	$35.35	$35.35	$49.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.97 / $79.63 / $95.55	Professional		$66.97	$79.63	$95.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.96 / $31.21 / $43.24	Professional	26	$26.96	$31.21	$43.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.01 / $47.97 / $52.32	Professional	TC	$40.01	$47.97	$52.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.71 / $25.71 / $25.71	Professional	26	$25.71	$25.71	$25.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $115.88 / $166.16	Professional		$78.93	$115.88	$166.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.02 / $47.02 / $66.48	Professional	26	$32.02	$47.02	$66.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.90 / $68.86 / $97.38	Professional	TC	$46.90	$68.86	$97.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.97 / $166.08 / $251.07	Professional		$101.97	$166.08	$251.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.70 / $66.59 / $97.91	Professional	26	$41.70	$66.59	$97.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.00 / $99.81 / $153.15	Professional	TC	$62.00	$99.81	$153.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $90.35 / $148.94 / $278.87	Professional		$90.35	$148.94	$278.87
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $36.65 / $63.41 / $120.76	Professional	26	$36.65	$63.41	$120.76
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $53.69 / $92.87 / $176.86	Professional	TC	$53.69	$92.87	$176.86
United Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $108.85 / $211.73	Professional		$85.59	$108.85	$211.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.28 / $46.95 / $88.36	Professional	26	$37.28	$46.95	$88.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.84 / $62.40 / $131.19	Professional	TC	$50.84	$62.40	$131.19
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $65.39 / $78.47 / $115.35	Professional		$65.39	$78.47	$115.35
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $26.65 / $31.35 / $47.35	Professional	26	$26.65	$31.35	$47.35
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $38.28 / $45.03 / $68.00	Professional	TC	$38.28	$45.03	$68.00