Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $501.19 / $501.19 / $501.19	Facility	26	$501.19	$501.19	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $2,290.87	Professional		$380.19	$524.81	$2,290.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $199.53 / $389.05	Professional	26	$120.23	$199.53	$389.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $338.84 / $794.33	Professional	TC	$257.04	$338.84	$794.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $138.04 / $389.05	Professional	26	$138.04	$138.04	$389.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $851.14 / $1,230.27	Professional		$363.08	$851.14	$1,230.27
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $275.42 / $398.11	Professional	26	$120.23	$275.42	$398.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $562.34 / $891.25	Professional	TC	$245.47	$562.34	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $851.14 / $1,548.82	Professional		$489.78	$851.14	$1,548.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $151.36 / $245.47 / $371.54	Professional	26	$151.36	$245.47	$371.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $588.84 / $1,202.26	Professional	TC	$338.84	$588.84	$1,202.26
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $1,047.13	Professional		$426.58	$660.69	$1,047.13
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $218.78 / $331.13	Professional	26	$138.04	$218.78	$331.13
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $446.68 / $691.83	Professional	TC	$288.40	$446.68	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $1,202.26	Professional		$426.58	$660.69	$1,202.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $169.82 / $346.74	Professional	26	$125.89	$169.82	$346.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $467.74 / $831.76	Professional	TC	$288.40	$467.74	$831.76
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $91.20 / $91.20	Facility	26	$77.62	$91.20	$91.20