Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.23 / $31.87 / $71.37	Facility	26	$19.23	$31.87	$71.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $82.34 / $228.93	Professional		$36.61	$82.34	$228.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.92 / $19.23 / $50.09	Professional	26	$16.92	$19.23	$50.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.48 / $56.82 / $178.83	Professional	TC	$18.48	$56.82	$178.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.67 / $39.59 / $117.39	Professional		$37.67	$39.59	$117.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.07 / $29.15 / $53.47	Professional	26	$18.07	$29.15	$53.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.52 / $53.27 / $91.89	Professional		$48.52	$53.27	$91.89
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.64 / $24.86 / $41.32	Professional	26	$22.64	$24.86	$41.32
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.88 / $27.72 / $49.00	Professional	TC	$25.88	$27.72	$49.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.33 / $101.94 / $190.30	Professional		$64.33	$101.94	$190.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.50 / $39.49 / $69.02	Professional	26	$25.50	$39.49	$69.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.72 / $57.61 / $114.14	Professional	TC	$34.72	$57.61	$114.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $52.55 / $91.57 / $182.99	Professional		$52.55	$91.57	$182.99
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $25.92 / $45.52 / $85.38	Professional	26	$25.92	$45.52	$85.38
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $29.62 / $52.02 / $97.57	Professional	TC	$29.62	$52.02	$97.57
United Facility/Professional Professional Modifier Low / Median / High Price $60.84 / $73.52 / $124.55	Professional		$60.84	$73.52	$124.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.05 / $32.65 / $103.57	Professional	26	$20.05	$32.65	$103.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.22 / $36.51 / $88.01	Professional	TC	$30.22	$36.51	$88.01
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $38.34 / $51.76 / $95.78	Professional		$38.34	$51.76	$95.78
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $17.80 / $21.82 / $30.54	Professional	26	$17.80	$21.82	$30.54
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $19.37 / $23.24 / $77.98	Professional	TC	$19.37	$23.24	$77.98