Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.82 / $378.43 / $378.43	Facility	26	$138.82	$378.43	$378.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.05 / $161.40 / $499.45	Professional		$109.05	$161.40	$499.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.15 / $60.82 / $208.13	Professional	TC	$39.15	$60.82	$208.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.28 / $145.28 / $145.28	Professional		$145.28	$145.28	$145.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.03 / $207.06 / $300.23	Professional		$141.03	$207.06	$300.23
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.08 / $76.45 / $110.86	Professional	TC	$52.08	$76.45	$110.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.06 / $312.08 / $440.71	Professional		$192.06	$312.08	$440.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.92 / $121.31 / $165.36	Professional	TC	$73.92	$121.31	$165.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $161.44 / $307.58 / $574.41	Professional		$161.44	$307.58	$574.41
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $59.64 / $113.59 / $196.39	Professional	TC	$59.64	$113.59	$196.39
United Facility/Professional Professional Modifier Low / Median / High Price $187.07 / $196.42 / $337.13	Professional		$187.07	$196.42	$337.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.93 / $78.45 / $114.98	Professional	TC	$64.93	$78.45	$114.98
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $117.34 / $140.81 / $206.99	Professional		$117.34	$140.81	$206.99
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $41.65 / $49.70 / $74.55	Professional	TC	$41.65	$49.70	$74.55