Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.36 / $89.04 / $89.04	Facility	26	$35.36	$89.04	$89.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.49 / $47.04 / $157.44	Professional		$36.49	$47.04	$157.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.88 / $24.18 / $62.85	Professional	26	$18.88	$24.18	$62.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.62 / $22.86 / $64.23	Professional	TC	$17.62	$22.86	$64.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.25 / $26.40 / $75.02	Professional	26	$18.25	$26.40	$75.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $62.69 / $87.89	Professional		$42.70	$62.69	$87.89
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.64 / $33.24 / $46.60	Professional	26	$22.64	$33.24	$46.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.05 / $29.44 / $41.27	Professional	TC	$20.05	$29.44	$41.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.56 / $92.09 / $141.75	Professional		$56.56	$92.09	$141.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.52 / $44.23 / $70.19	Professional	26	$28.52	$44.23	$70.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.90 / $44.56 / $89.62	Professional	TC	$26.90	$44.56	$89.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $80.41 / $161.02	Professional		$40.79	$80.41	$161.02
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $25.92 / $44.84 / $80.00	Professional	26	$25.92	$44.84	$80.00
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $23.31 / $40.72 / $75.63	Professional	TC	$23.31	$40.72	$75.63
United Facility/Professional Professional Modifier Low / Median / High Price $54.19 / $66.70 / $123.22	Professional		$54.19	$66.70	$123.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.36 / $31.79 / $64.93	Professional	26	$25.36	$31.79	$64.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.50 / $30.05 / $64.18	Professional	TC	$27.50	$30.05	$64.18
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $44.28 / $65.09	Professional		$36.90	$44.28	$65.09
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $19.13 / $22.92 / $31.01	Professional	26	$19.13	$22.92	$31.01
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $17.63 / $20.98 / $29.63	Professional	TC	$17.63	$20.98	$29.63