Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $15.49 / $38.02	Facility	26	$9.33	$15.49	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $42.66 / $275.42	Professional		$22.91	$42.66	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $10.00 / $32.36	Professional	26	$8.91	$10.00	$32.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $20.89 / $112.20	Professional	TC	$12.88	$20.89	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $83.18 / $85.11	Professional		$29.51	$83.18	$85.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $10.96 / $13.18	Professional	26	$7.24	$10.96	$13.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $40.74 / $64.57	Professional		$25.12	$40.74	$64.57
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $14.79 / $23.44	Professional	26	$9.33	$14.79	$23.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $25.70 / $40.74	Professional	TC	$15.85	$25.70	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $52.48 / $177.83	Professional		$31.62	$52.48	$177.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $19.05 / $27.54	Professional	26	$11.75	$19.05	$27.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $33.11 / $154.88	Professional	TC	$18.62	$33.11	$154.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $38.90 / $67.61	Professional		$19.50	$38.90	$67.61
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $15.49 / $25.12	Professional	26	$10.72	$15.49	$25.12
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $29.51 / $45.71	Professional	TC	$18.62	$29.51	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $41.69 / $138.04	Professional		$27.54	$41.69	$138.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $13.18 / $25.12	Professional	26	$9.77	$13.18	$25.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $23.44 / $83.18	Professional	TC	$15.85	$23.44	$83.18
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $5.89 / $6.92 / $6.92	Facility	26	$5.89	$6.92	$6.92