Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $21.88 / $22.39	Facility	26	$21.88	$21.88	$22.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $53.70 / $138.04	Professional		$41.69	$53.70	$138.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $14.13 / $38.02	Professional	26	$10.96	$14.13	$38.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $38.02 / $70.79	Professional	TC	$28.84	$38.02	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $41.69	Professional		$32.36	$32.36	$41.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $44.67 / $44.67	Professional	26	$44.67	$44.67	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $85.11 / $117.49	Professional		$54.95	$85.11	$117.49
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $21.88 / $31.62	Professional	26	$14.45	$21.88	$31.62
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $61.66 / $85.11	Professional	TC	$39.81	$61.66	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $154.88	Professional		$67.61	$102.33	$154.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $28.84 / $42.66	Professional	26	$16.98	$28.84	$42.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $77.62 / $120.23	Professional	TC	$50.12	$77.62	$120.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $100.00 / $151.36	Professional		$63.10	$100.00	$151.36
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $25.70 / $38.02	Professional	26	$16.60	$25.70	$38.02
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $72.44 / $107.15	Professional	TC	$46.77	$72.44	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $74.13 / $154.88	Professional		$44.67	$74.13	$154.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $19.95 / $38.02	Professional	26	$12.02	$19.95	$38.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $53.70 / $112.20	Professional	TC	$33.11	$53.70	$112.20
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $9.12 / $10.72 / $10.72	Facility	26	$9.12	$10.72	$10.72