Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.53 / $34.53 / $79.59	Facility	26	$34.53	$34.53	$79.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.36 / $300.52 / $885.79	Professional		$276.36	$300.52	$885.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.02 / $30.39 / $86.93	Professional	26	$27.02	$30.39	$86.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $249.34 / $270.12 / $798.86	Professional	TC	$249.34	$270.12	$798.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.77 / $26.77 / $26.77	Professional	26	$26.77	$26.77	$26.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.41 / $413.16 / $599.08	Professional		$281.41	$413.16	$599.08
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.32 / $48.91 / $70.91	Professional	26	$33.32	$48.91	$70.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $248.10 / $364.25 / $528.16	Professional	TC	$248.10	$364.25	$528.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.76 / $707.92 / $1,118.24	Professional		$376.76	$707.92	$1,118.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.50 / $78.30 / $102.92	Professional	26	$43.50	$78.30	$102.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $333.26 / $629.62 / $1,016.11	Professional	TC	$333.26	$629.62	$1,016.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $327.67 / $572.54 / $1,146.21	Professional		$327.67	$572.54	$1,146.21
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $38.72 / $67.64 / $125.64	Professional	26	$38.72	$67.64	$125.64
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $288.31 / $503.68 / $935.59	Professional	TC	$288.31	$503.68	$935.59
United Facility/Professional Professional Modifier Low / Median / High Price $348.35 / $421.74 / $608.84	Professional		$348.35	$421.74	$608.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.18 / $46.64 / $69.22	Professional	26	$37.18	$46.64	$69.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $312.72 / $377.76 / $539.62	Professional	TC	$312.72	$377.76	$539.62
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $269.69 / $315.00 / $475.73	Professional		$269.69	$315.00	$475.73
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $27.70 / $32.59 / $46.59	Professional	26	$27.70	$32.59	$46.59
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $240.05 / $282.41 / $419.09	Professional	TC	$240.05	$282.41	$419.09