Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.62 / $76.62 / $142.36	Facility	26	$76.62	$76.62	$142.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.65 / $486.05 / $1,160.23	Professional		$391.65	$486.05	$1,160.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.46 / $76.62 / $198.76	Professional	26	$58.46	$76.62	$198.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $333.18 / $409.42 / $941.36	Professional	TC	$333.18	$409.42	$941.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $58.07 / $100.17 / $238.61	Professional	26	$58.07	$100.17	$238.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.86 / $600.27 / $870.39	Professional		$408.86	$600.27	$870.39
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.13 / $105.90 / $153.55	Professional	26	$72.13	$105.90	$153.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $336.73 / $494.37 / $716.83	Professional	TC	$336.73	$494.37	$716.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.59 / $1,021.61 / $1,438.75	Professional		$546.59	$1,021.61	$1,438.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.36 / $170.53 / $223.13	Professional	26	$94.36	$170.53	$223.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $452.23 / $851.08 / $1,225.73	Professional	TC	$452.23	$851.08	$1,225.73
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $476.06 / $831.84 / $3,253.80	Professional		$476.06	$831.84	$3,253.80
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $83.83 / $146.44 / $272.02	Professional	26	$83.83	$146.44	$272.02
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $391.30 / $683.61 / $1,269.81	Professional	TC	$391.30	$683.61	$1,269.81
United Facility/Professional Professional Modifier Low / Median / High Price $602.75 / $630.08 / $847.25	Professional		$602.75	$630.08	$847.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.98 / $106.15 / $150.47	Professional	26	$97.98	$106.15	$150.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $504.77 / $546.83 / $737.52	Professional	TC	$504.77	$546.83	$737.52
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $376.03 / $449.26 / $678.50	Professional		$376.03	$449.26	$678.50
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $60.24 / $72.20 / $97.69	Professional	26	$60.24	$72.20	$97.69
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $305.33 / $378.40 / $559.77	Professional	TC	$305.33	$378.40	$559.77