Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.45 / $147.71 / $147.71	Facility	26	$56.45	$147.71	$147.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.82 / $83.73 / $320.00	Professional		$48.82	$83.73	$320.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.17 / $35.90 / $100.55	Professional	26	$29.17	$35.90	$100.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.66 / $49.65 / $213.94	Professional	TC	$19.66	$49.65	$213.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.78 / $62.78 / $62.78	Professional		$62.78	$62.78	$62.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.02 / $46.61 / $119.73	Professional	26	$29.02	$46.61	$119.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.98 / $113.03 / $159.84	Professional		$76.98	$113.03	$159.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.22 / $53.19 / $75.22	Professional	26	$36.22	$53.19	$75.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.64 / $59.84 / $84.47	Professional	TC	$39.64	$59.84	$84.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.99 / $163.89 / $237.12	Professional		$95.99	$163.89	$237.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.34 / $75.26 / $111.88	Professional	26	$47.34	$75.26	$111.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.70 / $80.30 / $138.29	Professional	TC	$50.70	$80.30	$138.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $83.37 / $138.47 / $272.01	Professional		$83.37	$138.47	$272.01
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $41.47 / $72.83 / $136.61	Professional	26	$41.47	$72.83	$136.61
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $46.66 / $80.70 / $144.02	Professional	TC	$46.66	$80.70	$144.02
United Facility/Professional Professional Modifier Low / Median / High Price $90.02 / $125.02 / $194.89	Professional		$90.02	$125.02	$194.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.47 / $53.02 / $100.32	Professional	26	$39.47	$53.02	$100.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.59 / $49.05 / $132.47	Professional	TC	$40.59	$49.05	$132.47
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $56.63 / $76.59 / $107.26	Professional		$56.63	$76.59	$107.26
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $30.37 / $36.40 / $49.25	Professional	26	$30.37	$36.40	$49.25
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $26.04 / $31.25 / $56.34	Professional	TC	$26.04	$31.25	$56.34