Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.07 / $111.55 / $111.55	Facility	26	$50.07	$111.55	$111.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $70.28 / $191.15	Professional		$48.71	$70.28	$191.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.52 / $30.71 / $80.91	Professional	26	$23.52	$30.71	$80.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.19 / $39.58 / $111.25	Professional	TC	$25.19	$39.58	$111.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.41 / $62.84 / $158.21	Professional		$53.41	$62.84	$158.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.35 / $45.22 / $106.19	Professional	26	$31.35	$45.22	$106.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $92.80 / $134.56	Professional		$65.34	$92.80	$134.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.02 / $45.48 / $65.94	Professional	26	$32.02	$45.48	$65.94
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.32 / $47.32 / $68.61	Professional	TC	$33.32	$47.32	$68.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.71 / $142.24 / $201.06	Professional		$86.71	$142.24	$201.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.38 / $67.63 / $97.29	Professional	26	$39.38	$67.63	$97.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.73 / $72.40 / $103.77	Professional	TC	$44.73	$72.40	$103.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $74.80 / $132.93 / $266.13	Professional		$74.80	$132.93	$266.13
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $36.67 / $65.15 / $120.76	Professional	26	$36.67	$65.15	$120.76
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $38.15 / $72.66 / $125.64	Professional	TC	$38.15	$72.66	$125.64
United Facility/Professional Professional Modifier Low / Median / High Price $72.66 / $90.22 / $317.08	Professional		$72.66	$90.22	$317.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.24 / $40.79 / $154.63	Professional	26	$30.24	$40.79	$154.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.85 / $48.14 / $84.48	Professional	TC	$42.85	$48.14	$84.48
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $52.83 / $63.40 / $93.19	Professional		$52.83	$63.40	$93.19
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $25.16 / $29.60 / $40.79	Professional	26	$25.16	$29.60	$40.79
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $27.49 / $32.72 / $47.51	Professional	TC	$27.49	$32.72	$47.51