Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $56.23 / $151.36	Facility	26	$41.69	$56.23	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $165.96 / $346.74	Professional		$89.13	$165.96	$346.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $79.43 / $208.93	Professional	26	$35.48	$79.43	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $79.43 / $204.17	Professional	TC	$56.23	$79.43	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $257.04	Professional		$81.28	$102.33	$257.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $58.88 / $134.90	Professional	26	$31.62	$58.88	$134.90
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $104.71 / $162.18	Professional	TC	$81.28	$104.71	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $218.78	Professional		$112.20	$162.18	$218.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $58.88 / $83.18	Professional	26	$40.74	$58.88	$83.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $102.33 / $138.04	Professional	TC	$70.79	$102.33	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $323.59	Professional		$114.82	$177.83	$323.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $72.44 / $117.49	Professional	26	$47.86	$72.44	$117.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $125.89 / $208.93	Professional	TC	$56.23	$125.89	$208.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $295.12	Professional		$131.83	$199.53	$295.12
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $69.18 / $107.15	Professional	26	$47.86	$69.18	$107.15
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $125.89 / $186.21	Professional	TC	$83.18	$125.89	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $302.00	Professional		$107.15	$151.36	$302.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $56.23 / $107.15	Professional	26	$42.66	$56.23	$107.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $97.72 / $194.98	Professional	TC	$64.57	$97.72	$194.98