Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $213.71 / $213.71 / $344.57	Facility	26	$213.71	$213.71	$344.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.65 / $481.37 / $976.16	Professional		$392.65	$481.37	$976.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $162.51 / $213.71 / $470.57	Professional	26	$162.51	$213.71	$470.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $230.14 / $267.66 / $505.58	Professional	TC	$230.14	$267.66	$505.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $377.18 / $377.18 / $377.18	Professional		$377.18	$377.18	$377.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $215.74 / $311.22 / $730.81	Professional	26	$215.74	$311.22	$730.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.58 / $655.56 / $950.56	Professional		$461.58	$655.56	$950.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $220.28 / $312.85 / $453.63	Professional	26	$220.28	$312.85	$453.63
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $241.30 / $342.71 / $496.92	Professional	TC	$241.30	$342.71	$496.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.90 / $1,002.92 / $1,428.32	Professional		$612.90	$1,002.92	$1,428.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $288.99 / $463.81 / $673.37	Professional	26	$288.99	$463.81	$673.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $323.89 / $519.45 / $829.67	Professional	TC	$323.89	$519.45	$829.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $528.63 / $1,006.75 / $1,740.67	Professional		$528.63	$1,006.75	$1,740.67
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $252.27 / $453.00 / $830.67	Professional	26	$252.27	$453.00	$830.67
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $276.35 / $526.29 / $909.96	Professional	TC	$276.35	$526.29	$909.96
United Facility/Professional Professional Modifier Low / Median / High Price $496.43 / $613.46 / $1,192.03	Professional		$496.43	$613.46	$1,192.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $235.36 / $297.95 / $558.55	Professional	26	$235.36	$297.95	$558.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $265.77 / $331.03 / $1,255.00	Professional	TC	$265.77	$331.03	$1,255.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $387.82 / $459.47 / $684.11	Professional		$387.82	$459.47	$684.11
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $174.19 / $208.79 / $282.45	Professional	26	$174.19	$208.79	$282.45
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $212.38 / $254.86 / $374.64	Professional	TC	$212.38	$254.86	$374.64