Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.87 / $41.58 / $69.41	Facility	26	$18.87	$41.58	$69.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.54 / $116.62 / $314.72	Professional		$55.54	$116.62	$314.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.77 / $18.88 / $49.12	Professional	26	$13.77	$18.88	$49.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.78 / $97.73 / $261.64	Professional	TC	$41.78	$97.73	$261.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $72.06 / $72.06	Professional		$72.06	$72.06	$72.06
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $22.36 / $57.43	Professional	26	$13.18	$22.36	$57.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.13 / $138.19 / $194.54	Professional		$94.13	$138.19	$194.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.47 / $25.64 / $35.94	Professional	26	$17.47	$25.64	$35.94
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $76.66 / $112.55 / $157.80	Professional	TC	$76.66	$112.55	$157.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.63 / $209.31 / $312.23	Professional		$125.63	$209.31	$312.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.59 / $37.03 / $53.26	Professional	26	$22.59	$37.03	$53.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $101.15 / $173.61 / $258.97	Professional	TC	$101.15	$173.61	$258.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $107.76 / $193.56 / $354.97	Professional		$107.76	$193.56	$354.97
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $20.00 / $38.10 / $65.88	Professional	26	$20.00	$38.10	$65.88
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $87.76 / $167.20 / $289.08	Professional	TC	$87.76	$167.20	$289.08
United Facility/Professional Professional Modifier Low / Median / High Price $95.11 / $125.75 / $218.68	Professional		$95.11	$125.75	$218.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.71 / $24.87 / $48.10	Professional	26	$18.71	$24.87	$48.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.47 / $98.35 / $170.58	Professional	TC	$79.47	$98.35	$170.58
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $77.43 / $96.01 / $136.59	Professional		$77.43	$96.01	$136.59
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $14.29 / $17.21 / $23.01	Professional	26	$14.29	$17.21	$23.01
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $63.14 / $75.77 / $107.55	Professional	TC	$63.14	$75.77	$107.55