Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.58 / $44.71 / $118.27	Facility	26	$31.58	$44.71	$118.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.97 / $125.23 / $348.16	Professional		$51.97	$125.23	$348.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.29 / $31.37 / $82.14	Professional	26	$23.29	$31.37	$82.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.68 / $94.59 / $266.01	Professional	TC	$28.68	$94.59	$266.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.41 / $79.26 / $235.02	Professional		$74.41	$79.26	$235.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.32 / $23.78 / $55.85	Professional	26	$22.32	$23.78	$55.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $107.29 / $181.30	Professional		$96.72	$107.29	$181.30
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.11 / $31.96 / $54.58	Professional	26	$29.11	$31.96	$54.58
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.59 / $74.23 / $128.02	Professional	TC	$67.59	$74.23	$128.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.76 / $185.02 / $313.37	Professional		$117.76	$185.02	$313.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.03 / $57.18 / $90.48	Professional	26	$36.03	$57.18	$90.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.25 / $129.88 / $221.51	Professional	TC	$73.25	$129.88	$221.51
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $110.72 / $194.46 / $364.72	Professional		$110.72	$194.46	$364.72
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $33.33 / $54.83 / $109.79	Professional	26	$33.33	$54.83	$109.79
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $77.39 / $133.87 / $238.86	Professional	TC	$77.39	$133.87	$238.86
United Facility/Professional Professional Modifier Low / Median / High Price $106.83 / $136.94 / $204.67	Professional		$106.83	$136.94	$204.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.81 / $40.75 / $84.16	Professional	26	$32.81	$40.75	$84.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.39 / $92.94 / $141.97	Professional	TC	$77.39	$92.94	$141.97
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $84.04 / $100.85 / $148.25	Professional		$84.04	$100.85	$148.25
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $24.23 / $29.08 / $39.25	Professional	26	$24.23	$29.08	$39.25
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $59.23 / $70.98 / $106.19	Professional	TC	$59.23	$70.98	$106.19