Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.61 / $41.61 / $80.69	Facility	26	$41.61	$41.61	$80.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.18 / $411.83 / $1,214.27	Professional		$336.18	$411.83	$1,214.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.84 / $36.71 / $104.91	Professional	26	$32.84	$36.71	$104.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $303.33 / $375.12 / $1,109.38	Professional	TC	$303.33	$375.12	$1,109.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.14 / $47.14 / $47.14	Professional	26	$47.14	$47.14	$47.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.81 / $554.67 / $804.28	Professional		$377.81	$554.67	$804.28
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.43 / $59.36 / $86.07	Professional	26	$40.43	$59.36	$86.07
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $337.37 / $495.32 / $718.21	Professional	TC	$337.37	$495.32	$718.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.99 / $951.67 / $1,514.45	Professional		$505.99	$951.67	$1,514.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.83 / $95.11 / $123.98	Professional	26	$52.83	$95.11	$123.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $453.15 / $856.57 / $1,391.41	Professional	TC	$453.15	$856.57	$1,391.41
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $439.91 / $768.66 / $1,538.83	Professional		$439.91	$768.66	$1,538.83
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $46.99 / $82.09 / $152.47	Professional	26	$46.99	$82.09	$152.47
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $392.05 / $684.92 / $1,272.25	Professional	TC	$392.05	$684.92	$1,272.25
United Facility/Professional Professional Modifier Low / Median / High Price $569.41 / $569.84 / $817.14	Professional		$569.41	$569.84	$817.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.04 / $55.55 / $83.52	Professional	26	$43.04	$55.55	$83.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $514.29 / $534.86 / $2,821.90	Professional	TC	$514.29	$534.86	$2,821.90
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $364.52 / $429.14 / $643.01	Professional		$364.52	$429.14	$643.01
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $34.11 / $40.14 / $56.88	Professional	26	$34.11	$40.14	$56.88
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $327.76 / $391.39 / $531.50	Professional	TC	$327.76	$391.39	$531.50