Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $93.33 / $199.53	Facility	26	$52.48	$93.33	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $363.08 / $954.99	Professional		$229.09	$363.08	$954.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $52.48 / $125.89	Professional	26	$32.36	$52.48	$125.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $316.23 / $812.83	Professional	TC	$194.98	$316.23	$812.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $61.66 / $61.66	Professional	26	$61.66	$61.66	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $691.83	Professional		$338.84	$489.78	$691.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $70.79 / $102.33	Professional	26	$48.98	$70.79	$102.33
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $407.38 / $602.56	Professional	TC	$288.40	$407.38	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $812.83 / $1,071.52	Professional		$436.52	$812.83	$1,071.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $112.20 / $147.91	Professional	26	$63.10	$112.20	$147.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $380.19 / $691.83 / $933.25	Professional	TC	$380.19	$691.83	$933.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $645.65 / $1,174.90	Professional		$389.05	$645.65	$1,174.90
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $93.33 / $151.36	Professional	26	$54.95	$93.33	$151.36
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $549.54 / $891.25	Professional	TC	$331.13	$549.54	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $1,318.26	Professional		$371.54	$501.19	$1,318.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $66.07 / $128.82	Professional	26	$53.70	$66.07	$128.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $436.52 / $812.83	Professional	TC	$331.13	$436.52	$812.83