Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $158.49 / $158.49	Facility	26	$158.49	$158.49	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $67.61 / $107.15	Professional		$47.86	$67.61	$107.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $47.86 / $151.36	Professional	26	$32.36	$47.86	$151.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $19.05 / $28.84	Professional	TC	$15.14	$19.05	$28.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $131.83	Professional		$64.57	$91.20	$131.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $64.57 / $93.33	Professional	26	$45.71	$64.57	$93.33
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $26.92 / $38.90	Professional	TC	$19.50	$26.92	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $144.54 / $194.98	Professional		$79.43	$144.54	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $100.00 / $138.04	Professional	26	$54.95	$100.00	$138.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $43.65 / $58.88	Professional	TC	$24.55	$43.65	$58.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $131.83 / $204.17	Professional		$75.86	$131.83	$204.17
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $91.20 / $138.04	Professional	26	$53.70	$91.20	$138.04
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $38.02 / $58.88	Professional	TC	$22.39	$38.02	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $218.78	Professional		$66.07	$87.10	$218.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $58.88 / $134.90	Professional	26	$41.69	$58.88	$134.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $25.12 / $58.88	Professional	TC	$21.38	$25.12	$58.88
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $33.88 / $33.88	Facility	26	$33.88	$33.88	$33.88