Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.91 / $329.31 / $938.16	Facility		$156.91	$329.31	$938.16
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.22 / $62.11 / $62.11	Facility	26	$23.22	$62.11	$62.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.89 / $91.53 / $260.39	Professional		$64.89	$91.53	$260.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.05 / $14.19 / $41.81	Professional	26	$12.05	$14.19	$41.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.84 / $75.45 / $224.37	Professional	TC	$52.84	$75.45	$224.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.84 / $27.64 / $35.15	Professional	26	$11.84	$27.64	$35.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $420.94 / $529.01 / $587.66	Facility		$420.94	$529.01	$587.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.33 / $144.37 / $204.16	Professional		$98.33	$144.37	$204.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.88 / $21.85 / $30.90	Professional	26	$14.88	$21.85	$30.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.45 / $122.52 / $172.96	Professional	TC	$83.45	$122.52	$172.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.06 / $542.82 / $1,402.08	Facility		$420.06	$542.82	$1,402.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.04 / $175.56 / $319.60	Professional		$124.04	$175.56	$319.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.47 / $30.97 / $46.07	Professional	26	$19.47	$30.97	$46.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.78 / $144.99 / $273.52	Professional	TC	$97.78	$144.99	$273.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $112.57 / $200.06 / $370.82	Professional		$112.57	$200.06	$370.82
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $17.03 / $29.46 / $56.10	Professional	26	$17.03	$29.46	$56.10
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $95.54 / $169.43 / $314.72	Professional	TC	$95.54	$169.43	$314.72
United Facility/Professional Professional Modifier Low / Median / High Price $92.09 / $123.00 / $223.24	Professional		$92.09	$123.00	$223.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.44 / $21.48 / $41.91	Professional	26	$16.44	$21.48	$41.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.79 / $111.44 / $181.41	Professional	TC	$80.79	$111.44	$181.41
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $72.54 / $91.70 / $138.49	Professional		$72.54	$91.70	$138.49
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $12.48 / $15.28 / $20.09	Professional	26	$12.48	$15.28	$20.09
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $59.44 / $77.13 / $106.32	Professional	TC	$59.44	$77.13	$106.32