Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $47.86 / $125.89	Facility	26	$33.88	$47.86	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $141.25 / $302.00	Professional		$89.13	$141.25	$302.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $44.67 / $104.71	Professional	26	$26.92	$44.67	$104.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $85.11 / $194.98	Professional	TC	$61.66	$85.11	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $338.84	Professional		$81.28	$107.15	$338.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $26.30 / $104.71	Professional	26	$22.91	$26.30	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $120.23 / $190.55	Professional		$104.71	$120.23	$190.55
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $35.48 / $58.88	Professional	26	$32.36	$35.48	$58.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $79.43 / $131.83	Professional	TC	$72.44	$79.43	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $190.55 / $316.23	Professional		$120.23	$190.55	$316.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $56.23 / $91.20	Professional	26	$38.02	$56.23	$91.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $134.90 / $223.87	Professional	TC	$75.86	$134.90	$223.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $281.84	Professional		$123.03	$190.55	$281.84
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $56.23 / $85.11	Professional	26	$38.02	$56.23	$85.11
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $131.83 / $194.98	Professional	TC	$85.11	$131.83	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $288.40	Professional		$114.82	$147.91	$288.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $45.71 / $87.10	Professional	26	$34.67	$45.71	$87.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $102.33 / $204.17	Professional	TC	$79.43	$102.33	$204.17