Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $19.50 / $52.48	Facility	26	$19.50	$19.50	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $60.26 / $194.98	Professional		$27.54	$60.26	$194.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $45.71 / $112.20	Professional	26	$18.62	$45.71	$112.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $107.15 / $112.20	Professional	50	$72.44	$107.15	$112.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.91 / $23.99 / $89.13	Professional	TC	$8.91	$23.99	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $154.88	Professional		$51.29	$67.61	$154.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $36.31 / $69.18	Professional	26	$23.99	$36.31	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $67.61 / $93.33	Professional		$32.36	$67.61	$93.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $40.74 / $52.48	Professional	26	$33.88	$40.74	$52.48
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $95.50 / $104.71 / $144.54	Professional	50	$95.50	$104.71	$144.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $38.02 / $50.12	Professional	TC	$33.11	$38.02	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $85.11 / $147.91	Professional		$41.69	$85.11	$147.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $47.86 / $85.11	Professional	26	$26.92	$47.86	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $36.31 / $83.18	Professional	TC	$14.45	$36.31	$83.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $77.62 / $151.36	Professional		$39.81	$77.62	$151.36
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $33.11 / $138.04	Professional	26	$22.39	$33.11	$138.04
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $41.69 / $131.83	Professional	TC	$13.80	$41.69	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $77.62 / $169.82	Professional		$36.31	$77.62	$169.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $37.15 / $74.13	Professional	26	$22.39	$37.15	$74.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $41.69 / $85.11	Professional	TC	$13.80	$41.69	$85.11