Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.19 / $21.19 / $21.19	Facility	26	$21.19	$21.19	$21.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $51.24 / $60.96	Professional		$43.95	$51.24	$60.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.28 / $13.50 / $18.30	Professional	26	$11.28	$13.50	$18.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.22 / $37.71 / $42.65	Professional	TC	$32.22	$37.71	$42.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.82 / $11.36 / $11.36	Professional	26	$10.82	$11.36	$11.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $76.93 / $110.30	Professional		$52.40	$76.93	$110.30
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.59 / $19.95 / $28.21	Professional	26	$13.59	$19.95	$28.21
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.82 / $56.99 / $80.59	Professional	TC	$38.82	$56.99	$80.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.43 / $107.22 / $159.94	Professional		$67.43	$107.22	$159.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $28.98 / $42.06	Professional	26	$17.78	$28.98	$42.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.75 / $78.04 / $116.41	Professional	TC	$49.75	$78.04	$116.41
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $62.52 / $114.57 / $213.44	Professional		$62.52	$114.57	$213.44
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $15.55 / $26.90 / $51.22	Professional	26	$15.55	$26.90	$51.22
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $44.44 / $78.98 / $146.38	Professional	TC	$44.44	$78.98	$146.38
United Facility/Professional Professional Modifier Low / Median / High Price $50.84 / $69.48 / $154.13	Professional		$50.84	$69.48	$154.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.11 / $19.03 / $41.78	Professional	26	$12.11	$19.03	$41.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.72 / $51.05 / $112.36	Professional	TC	$38.72	$51.05	$112.36
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $42.65 / $49.82 / $75.45	Professional		$42.65	$49.82	$75.45
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $11.31 / $13.30 / $19.70	Professional	26	$11.31	$13.30	$19.70
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $31.03 / $36.53 / $55.14	Professional	TC	$31.03	$36.53	$55.14