Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $75.86 / $173.78	Facility	26	$75.86	$75.86	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $1,174.90	Professional		$323.59	$489.78	$1,174.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $77.62 / $186.21	Professional	26	$48.98	$77.62	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $407.38 / $977.24	Professional	TC	$269.15	$407.38	$977.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $93.33 / $239.88	Professional	26	$57.54	$93.33	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $870.96	Professional		$426.58	$616.60	$870.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $104.71 / $154.88	Professional	26	$74.13	$104.71	$154.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $489.78 / $724.44	Professional	TC	$354.81	$489.78	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,023.29 / $1,445.44	Professional		$549.54	$1,023.29	$1,445.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $169.82 / $223.87	Professional	26	$93.33	$169.82	$223.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $457.09 / $851.14 / $1,230.27	Professional	TC	$457.09	$851.14	$1,230.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $812.83 / $1,513.56	Professional		$489.78	$812.83	$1,513.56
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $141.25 / $229.09	Professional	26	$85.11	$141.25	$229.09
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $407.38 / $676.08 / $1,096.48	Professional	TC	$407.38	$676.08	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $707.95 / $1,659.59	Professional		$537.03	$707.95	$1,659.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $107.15 / $194.98	Professional	26	$93.33	$107.15	$194.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $436.52 / $524.81 / $1,122.02	Professional	TC	$436.52	$524.81	$1,122.02