Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $724.44 / $1,174.90	Facility		$125.89	$724.44	$1,174.90
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $46.77 / $123.03	Facility	26	$33.11	$46.77	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $114.82 / $575.44	Professional		$48.98	$114.82	$575.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $46.77 / $107.15	Professional	26	$26.30	$46.77	$107.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $38.02 / $239.88	Professional	TC	$21.88	$38.02	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $60.26 / $213.80	Professional		$42.66	$60.26	$213.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $47.86 / $104.71	Professional	26	$37.15	$47.86	$104.71
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $47.86 / $47.86	Professional	TC	$47.86	$47.86	$47.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $354.81 / $398.11	Facility		$288.40	$354.81	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $67.61 / $107.15	Professional		$61.66	$67.61	$107.15
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $33.11 / $52.48	Professional	26	$30.90	$33.11	$52.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $32.36 / $52.48	Professional	TC	$30.20	$32.36	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $134.90 / $338.84	Professional		$74.13	$134.90	$338.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $53.70 / $87.10	Professional	26	$36.31	$53.70	$87.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $66.07 / $346.74	Professional	TC	$38.02	$66.07	$346.74
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $104.71 / $169.82	Professional		$53.70	$104.71	$169.82
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $57.54 / $85.11	Professional	26	$36.31	$57.54	$85.11
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $58.88 / $91.20	Professional	TC	$38.02	$58.88	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $186.21	Professional		$70.79	$109.65	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $42.66 / $81.28	Professional	26	$32.36	$42.66	$81.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $47.86 / $131.83	Professional	TC	$32.36	$47.86	$131.83