Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.04 / $138.04 / $138.04	Facility	26	$138.04	$138.04	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $316.23	Professional		$120.23	$154.88	$316.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $38.02 / $109.65	Professional	26	$28.18	$38.02	$109.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $120.23 / $275.42	Professional	TC	$93.33	$120.23	$275.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $114.82 / $114.82	Professional	26	$114.82	$114.82	$114.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $302.00	Professional		$144.54	$218.78	$302.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $52.48 / $74.13	Professional	26	$34.67	$52.48	$74.13
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $165.96 / $229.09	Professional	TC	$109.65	$165.96	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $446.68	Professional		$158.49	$245.47	$446.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $61.66 / $100.00	Professional	26	$39.81	$61.66	$100.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $177.83 / $338.84	Professional	TC	$109.65	$177.83	$338.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $398.11	Professional		$173.78	$275.42	$398.11
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $61.66 / $93.33	Professional	26	$40.74	$61.66	$93.33
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $194.98 / $288.40	Professional	TC	$128.82	$194.98	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $416.87	Professional		$141.25	$204.17	$416.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $48.98 / $95.50	Professional	26	$38.02	$48.98	$95.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $154.88 / $309.03	Professional	TC	$109.65	$154.88	$309.03