Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.31 / $49.31 / $74.11	Facility	26	$49.31	$49.31	$74.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.93 / $293.82 / $864.60	Professional		$277.93	$293.82	$864.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.07 / $43.47 / $124.23	Professional	26	$39.07	$43.47	$124.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $238.86 / $250.34 / $740.36	Professional	TC	$238.86	$250.34	$740.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.20 / $61.20 / $61.20	Professional	26	$61.20	$61.20	$61.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.56 / $422.19 / $612.16	Professional		$287.56	$422.19	$612.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.55 / $69.81 / $101.22	Professional	26	$47.55	$69.81	$101.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $240.01 / $352.38 / $510.95	Professional	TC	$240.01	$352.38	$510.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.55 / $721.91 / $1,123.56	Professional		$384.55	$721.91	$1,123.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.16 / $111.88 / $146.94	Professional	26	$62.16	$111.88	$146.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $322.39 / $610.03 / $976.89	Professional	TC	$322.39	$610.03	$976.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $334.83 / $585.04 / $1,205.61	Professional		$334.83	$585.04	$1,205.61
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $55.25 / $96.53 / $179.30	Professional	26	$55.25	$96.53	$179.30
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $278.91 / $487.26 / $905.09	Professional	TC	$278.91	$487.26	$905.09
United Facility/Professional Professional Modifier Low / Median / High Price $403.15 / $428.30 / $1,009.10	Professional		$403.15	$428.30	$1,009.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.04 / $65.17 / $98.94	Professional	26	$53.04	$65.17	$98.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $302.61 / $375.84 / $1,992.48	Professional	TC	$302.61	$375.84	$1,992.48
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $273.43 / $319.37 / $482.33	Professional		$273.43	$319.37	$482.33
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $40.04 / $47.11 / $67.14	Professional	26	$40.04	$47.11	$67.14
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $231.41 / $272.25 / $401.58	Professional	TC	$231.41	$272.25	$401.58