Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.98 / $22.66 / $29.73	Facility	26	$7.98	$22.66	$29.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $19.35 / $58.26	Professional		$12.53	$19.35	$58.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.97 / $7.98 / $22.87	Professional	26	$5.97	$7.98	$22.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.56 / $11.36 / $35.38	Professional	TC	$6.56	$11.36	$35.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $16.80 / $48.06	Professional	26	$8.02	$16.80	$48.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.73 / $61.26 / $86.48	Professional		$41.73	$61.26	$86.48
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.56 / $21.37 / $30.16	Professional	26	$14.56	$21.37	$30.16
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $39.89 / $56.15	Professional	TC	$26.30	$39.89	$56.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.21 / $61.87 / $129.60	Professional		$34.21	$61.87	$129.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.44 / $21.37 / $44.98	Professional	26	$12.44	$21.37	$44.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.86 / $40.50 / $84.16	Professional	TC	$19.86	$40.50	$84.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $47.77 / $78.75 / $157.36	Professional		$47.77	$78.75	$157.36
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $16.66 / $27.14 / $51.42	Professional	26	$16.66	$27.14	$51.42
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $31.11 / $55.17 / $102.48	Professional	TC	$31.11	$55.17	$102.48
United Facility/Professional Professional Modifier Low / Median / High Price $25.83 / $53.96 / $69.48	Professional		$25.83	$53.96	$69.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $19.69 / $51.07	Professional	26	$8.36	$19.69	$51.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.54 / $35.65 / $125.33	Professional	TC	$16.54	$35.65	$125.33
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $39.29 / $60.28	Professional		$18.29	$39.29	$60.28
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $7.42 / $14.02 / $19.63	Professional	26	$7.42	$14.02	$19.63
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $10.87 / $25.28 / $35.39	Professional	TC	$10.87	$25.28	$35.39