Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.73 / $151.84 / $151.84	Facility	26	$60.73	$151.84	$151.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $59.37 / $60.39	Professional		$39.33	$59.37	$60.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.90 / $41.38 / $41.96	Professional	26	$31.90	$41.38	$41.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.43 / $17.98 / $18.44	Professional	TC	$7.43	$17.98	$18.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.68 / $323.68 / $323.68	Professional		$323.68	$323.68	$323.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $92.93 / $92.93 / $92.93	Professional	26	$92.93	$92.93	$92.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.94 / $188.81 / $273.77	Professional		$132.94	$188.81	$273.77
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.82 / $55.13 / $79.93	Professional	26	$38.82	$55.13	$79.93
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $94.13 / $133.69 / $193.85	Professional	TC	$94.13	$133.69	$193.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $285.14 / $419.76	Professional		$151.97	$285.14	$419.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.93 / $81.56 / $117.43	Professional	26	$50.93	$81.56	$117.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.10 / $205.00 / $302.33	Professional	TC	$58.10	$205.00	$302.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $152.25 / $289.95 / $541.48	Professional		$152.25	$289.95	$541.48
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $44.46 / $79.81 / $146.38	Professional	26	$44.46	$79.81	$146.38
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $107.80 / $191.51 / $354.97	Professional	TC	$107.80	$191.51	$354.97
United Facility/Professional Professional Modifier Low / Median / High Price $105.63 / $152.41 / $280.87	Professional		$105.63	$152.41	$280.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.95 / $63.79 / $150.25	Professional	26	$40.95	$63.79	$150.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.89 / $106.46 / $389.97	Professional	TC	$55.89	$106.46	$389.97
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $58.63 / $111.33 / $170.77	Professional		$58.63	$111.33	$170.77
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $30.77 / $36.92 / $49.54	Professional	26	$30.77	$36.92	$49.54
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $20.39 / $75.95 / $106.32	Professional	TC	$20.39	$75.95	$106.32