Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.44 / $42.86 / $65.68	Facility	26	$30.44	$42.86	$65.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.10 / $111.26 / $200.77	Professional		$88.10	$111.26	$200.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.99 / $27.69 / $53.13	Professional	26	$22.99	$27.69	$53.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.11 / $78.81 / $147.63	Professional	TC	$65.11	$78.81	$147.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.70 / $83.24 / $249.44	Professional		$78.70	$83.24	$249.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.00 / $27.02 / $35.39	Professional	26	$22.00	$27.02	$35.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.54 / $150.54 / $211.07	Professional		$102.54	$150.54	$211.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.49 / $40.36 / $56.60	Professional	26	$27.49	$40.36	$56.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.04 / $110.18 / $154.47	Professional	TC	$75.04	$110.18	$154.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.33 / $193.60 / $322.92	Professional		$129.33	$193.60	$322.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.32 / $51.56 / $84.98	Professional	26	$34.32	$51.56	$84.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.32 / $145.04 / $237.12	Professional	TC	$95.32	$145.04	$237.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $117.39 / $203.06 / $386.69	Professional		$117.39	$203.06	$386.69
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $31.48 / $54.45 / $97.16	Professional	26	$31.48	$54.45	$97.16
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $85.91 / $148.61 / $265.16	Professional	TC	$85.91	$148.61	$265.16
United Facility/Professional Professional Modifier Low / Median / High Price $114.29 / $140.77 / $274.19	Professional		$114.29	$140.77	$274.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.79 / $38.04 / $74.54	Professional	26	$30.79	$38.04	$74.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.33 / $107.52 / $180.02	Professional	TC	$87.33	$107.52	$180.02
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $86.48 / $103.22 / $152.55	Professional		$86.48	$103.22	$152.55
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $22.76 / $27.09 / $36.64	Professional	26	$22.76	$27.09	$36.64
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $63.26 / $75.67 / $102.59	Professional	TC	$63.26	$75.67	$102.59