Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.02 / $93.93 / $201.50	Facility	26	$52.02	$93.93	$201.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.66 / $318.73 / $1,029.64	Professional		$282.66	$318.73	$1,029.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.40 / $45.85 / $146.79	Professional	26	$38.40	$45.85	$146.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $244.25 / $272.87 / $882.88	Professional	TC	$244.25	$272.87	$882.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.60 / $61.60 / $61.60	Professional	26	$61.60	$61.60	$61.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.99 / $481.55 / $698.24	Professional		$327.99	$481.55	$698.24
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.87 / $70.29 / $101.92	Professional	26	$47.87	$70.29	$101.92
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $280.12 / $411.26 / $596.32	Professional	TC	$280.12	$411.26	$596.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.87 / $821.94 / $1,066.96	Professional		$438.87	$821.94	$1,066.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.56 / $112.61 / $147.90	Professional	26	$62.56	$112.61	$147.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $376.31 / $691.54 / $919.06	Professional	TC	$376.31	$691.54	$919.06
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $381.90 / $667.30 / $1,335.92	Professional		$381.90	$667.30	$1,335.92
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $55.63 / $97.18 / $180.52	Professional	26	$55.63	$97.18	$180.52
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $325.52 / $568.69 / $1,056.34	Professional	TC	$325.52	$568.69	$1,056.34
United Facility/Professional Professional Modifier Low / Median / High Price $367.11 / $499.57 / $712.78	Professional		$367.11	$499.57	$712.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.42 / $65.84 / $194.97	Professional	26	$50.42	$65.84	$194.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $365.22 / $434.43 / $613.16	Professional	TC	$365.22	$434.43	$613.16
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $319.17 / $372.79 / $563.02	Professional		$319.17	$372.79	$563.02
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $40.28 / $48.34 / $64.84	Professional	26	$40.28	$48.34	$64.84
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $271.49 / $325.74 / $448.99	Professional	TC	$271.49	$325.74	$448.99