Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $89.13 / $89.13	Facility	26	$38.02	$89.13	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $72.44 / $257.04	Professional		$38.90	$72.44	$257.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $41.69 / $79.43	Professional	26	$19.95	$41.69	$79.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $23.99 / $66.07	Professional	TC	$16.98	$23.99	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $38.90 / $109.65	Professional		$34.67	$38.90	$109.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $28.18 / $79.43	Professional	26	$28.18	$28.18	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $66.07 / $91.20	Professional		$44.67	$66.07	$91.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $34.67 / $47.86	Professional	26	$23.99	$34.67	$47.86
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $30.90 / $42.66	Professional	TC	$20.89	$30.90	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $89.13 / $134.90	Professional		$56.23	$89.13	$134.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $41.69 / $69.18	Professional	26	$28.18	$41.69	$69.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $43.65 / $81.28	Professional	TC	$26.92	$43.65	$81.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $75.86 / $120.23	Professional		$41.69	$75.86	$120.23
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $42.66 / $64.57	Professional	26	$28.18	$42.66	$64.57
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $38.02 / $57.54	Professional	TC	$24.55	$38.02	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $75.86 / $131.83	Professional		$52.48	$75.86	$131.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $33.11 / $63.10	Professional	26	$25.12	$33.11	$63.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $35.48 / $67.61	Professional	TC	$23.99	$35.48	$67.61