Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.66 / $14.11 / $36.29	Facility	26	$10.66	$14.11	$36.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.76 / $86.79 / $214.47	Professional		$32.76	$86.79	$214.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.57 / $9.53 / $27.60	Professional	26	$7.57	$9.53	$27.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.19 / $77.39 / $186.62	Professional	TC	$25.19	$77.39	$186.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $40.72 / $92.89	Professional		$29.29	$40.72	$92.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.97 / $11.65 / $29.92	Professional	26	$6.97	$11.65	$29.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $56.04 / $80.34	Professional		$38.17	$56.04	$80.34
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.06 / $13.30 / $18.80	Professional	26	$9.06	$13.30	$18.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.11 / $42.74 / $60.44	Professional	TC	$29.11	$42.74	$60.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.91 / $85.93 / $171.37	Professional		$50.91	$85.93	$171.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.82 / $18.96 / $27.99	Professional	26	$11.82	$18.96	$27.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.07 / $65.27 / $154.02	Professional	TC	$39.07	$65.27	$154.02
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $77.66 / $143.94	Professional		$43.70	$77.66	$143.94
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.37 / $17.94 / $34.15	Professional	26	$10.37	$17.94	$34.15
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $34.72 / $63.66 / $109.79	Professional	TC	$34.72	$63.66	$109.79
United Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $60.03 / $130.12	Professional		$49.68	$60.03	$130.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.52 / $14.80 / $28.73	Professional	26	$11.52	$14.80	$28.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.43 / $45.23 / $232.00	Professional	TC	$37.43	$45.23	$232.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $43.47 / $61.33	Professional		$31.59	$43.47	$61.33
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $7.53 / $9.03 / $12.86	Professional	26	$7.53	$9.03	$12.86
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $24.01 / $28.81 / $52.31	Professional	TC	$24.01	$28.81	$52.31