Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.70 / $60.82 / $158.56	Facility	26	$41.70	$60.82	$158.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.68 / $229.62 / $715.40	Professional		$208.68	$229.62	$715.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.24 / $36.75 / $108.33	Professional	26	$31.24	$36.75	$108.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $177.44 / $192.87 / $607.05	Professional	TC	$177.44	$192.87	$607.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $49.51 / $49.51 / $127.16	Professional	26	$49.51	$49.51	$127.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.18 / $376.12 / $545.37	Professional		$256.18	$376.12	$545.37
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.49 / $56.51 / $81.93	Professional	26	$38.49	$56.51	$81.93
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $217.69 / $319.61 / $463.43	Professional	TC	$217.69	$319.61	$463.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.68 / $618.03 / $827.27	Professional		$342.68	$618.03	$827.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.28 / $90.52 / $117.95	Professional	26	$50.28	$90.52	$117.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $292.39 / $529.91 / $709.33	Professional	TC	$292.39	$529.91	$709.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $305.63 / $526.83 / $1,043.46	Professional		$305.63	$526.83	$1,043.46
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $44.74 / $78.15 / $145.16	Professional	26	$44.74	$78.15	$145.16
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $252.97 / $441.95 / $820.92	Professional	TC	$252.97	$441.95	$820.92
United Facility/Professional Professional Modifier Low / Median / High Price $245.49 / $387.18 / $552.64	Professional		$245.49	$387.18	$552.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.51 / $52.91 / $79.42	Professional	26	$39.51	$52.91	$79.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $205.98 / $334.27 / $473.22	Professional	TC	$205.98	$334.27	$473.22
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $234.78 / $288.82 / $436.20	Professional		$234.78	$288.82	$436.20
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $32.50 / $38.95 / $52.69	Professional	26	$32.50	$38.95	$52.69
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $195.92 / $246.72 / $345.39	Professional	TC	$195.92	$246.72	$345.39