Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.72 / $48.25 / $126.14	Facility	26	$33.72	$48.25	$126.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.17 / $125.82 / $276.29	Professional		$87.17	$125.82	$276.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.30 / $33.72 / $87.70	Professional	26	$25.30	$33.72	$87.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.86 / $93.20 / $262.08	Professional	TC	$61.86	$93.20	$262.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.13 / $83.23 / $145.66	Professional		$78.13	$83.23	$145.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.82 / $26.24 / $74.08	Professional	26	$23.82	$26.24	$74.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.57 / $113.01 / $192.33	Professional		$101.57	$113.01	$192.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.38 / $34.45 / $58.81	Professional	26	$31.38	$34.45	$58.81
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.19 / $78.68 / $132.91	Professional	TC	$70.19	$78.68	$132.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.44 / $194.97 / $327.76	Professional		$130.44	$194.97	$327.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.86 / $61.60 / $97.66	Professional	26	$38.86	$61.60	$97.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $90.83 / $135.09 / $228.80	Professional	TC	$90.83	$135.09	$228.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $116.27 / $206.19 / $383.00	Professional		$116.27	$206.19	$383.00
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $35.92 / $62.13 / $110.87	Professional	26	$35.92	$62.13	$110.87
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $80.36 / $139.01 / $264.70	Professional	TC	$80.36	$139.01	$264.70
United Facility/Professional Professional Modifier Low / Median / High Price $109.36 / $138.08 / $282.86	Professional		$109.36	$138.08	$282.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.78 / $43.36 / $86.86	Professional	26	$33.78	$43.36	$86.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.29 / $98.99 / $194.41	Professional	TC	$81.29	$98.99	$194.41
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $87.68 / $105.22 / $154.66	Professional		$87.68	$105.22	$154.66
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $26.10 / $31.27 / $42.30	Professional	26	$26.10	$31.27	$42.30
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $61.40 / $73.06 / $104.81	Professional	TC	$61.40	$73.06	$104.81