Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.45 / $26.30 / $50.12	Facility	26	$14.45	$26.30	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $45.71 / $125.89	Professional		$34.67	$45.71	$125.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $20.42 / $41.69	Professional	26	$10.96	$20.42	$41.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.90 / $83.18	Professional	TC	$21.88	$30.90	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $47.86	Professional		$33.88	$33.88	$47.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $10.23 / $19.05	Professional	26	$10.23	$10.23	$19.05
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $50.12 / $50.12	Professional	TC	$50.12	$50.12	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $70.79 / $93.33	Professional		$46.77	$70.79	$93.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $20.42 / $29.51	Professional	26	$12.88	$20.42	$29.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $50.12 / $66.07	Professional	TC	$33.11	$50.12	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $134.90	Professional		$54.95	$69.18	$134.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $26.30 / $38.90	Professional	26	$15.85	$26.30	$38.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $50.12 / $97.72	Professional	TC	$38.90	$50.12	$97.72
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $123.03	Professional		$52.48	$83.18	$123.03
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $23.44 / $34.67	Professional	26	$15.14	$23.44	$34.67
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $60.26 / $89.13	Professional	TC	$38.90	$60.26	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $61.66 / $117.49	Professional		$44.67	$61.66	$117.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $18.20 / $36.31	Professional	26	$13.49	$18.20	$36.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $41.69 / $79.43	Professional	TC	$30.20	$41.69	$79.43
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $8.32 / $9.77 / $9.77	Facility	26	$8.32	$9.77	$9.77