Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $17.79 / $38.26	Facility	26	$9.30	$17.79	$38.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $65.34 / $203.94	Professional		$17.62	$65.34	$203.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.28 / $9.30 / $26.07	Professional	26	$7.28	$9.30	$26.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.34 / $56.50 / $177.86	Professional	TC	$10.34	$56.50	$177.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $60.37 / $60.37	Professional		$20.36	$60.37	$60.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.94 / $11.65 / $29.92	Professional	26	$6.94	$11.65	$29.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.91 / $36.57 / $53.02	Professional		$24.91	$36.57	$53.02
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.06 / $13.30 / $19.07	Professional	26	$9.06	$13.30	$19.07
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $23.27 / $33.36	Professional	TC	$15.85	$23.27	$33.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.08 / $54.01 / $172.41	Professional		$33.08	$54.01	$172.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.82 / $18.96 / $27.99	Professional	26	$11.82	$18.96	$27.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.25 / $33.27 / $148.31	Professional	TC	$21.25	$33.27	$148.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $44.80 / $88.00	Professional		$20.57	$44.80	$88.00
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.37 / $16.29 / $32.01	Professional	26	$10.37	$16.29	$32.01
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $18.14 / $32.24 / $59.76	Professional	TC	$18.14	$32.24	$59.76
United Facility/Professional Professional Modifier Low / Median / High Price $28.92 / $35.19 / $140.91	Professional		$28.92	$35.19	$140.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.72 / $13.14 / $31.79	Professional	26	$9.72	$13.14	$31.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.67 / $20.83 / $83.38	Professional	TC	$16.67	$20.83	$83.38
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $21.91 / $71.98	Professional		$11.75	$21.91	$71.98
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $9.10 / $12.21	Professional	26	$7.58	$9.10	$12.21
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $10.68 / $12.82 / $62.57	Professional	TC	$10.68	$12.82	$62.57