Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.68 / $58.81 / $58.81	Professional		$50.68	$58.81	$58.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.28 / $21.98 / $86.63	Professional	26	$20.28	$21.98	$86.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.40 / $36.76 / $36.83	Professional	TC	$30.40	$36.76	$36.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.22 / $13.22 / $62.69	Professional	26	$13.22	$13.22	$62.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $105.18 / $148.74	Professional		$27.27	$105.18	$148.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.94 / $43.06 / $58.05	Professional	26	$10.94	$43.06	$58.05
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.34 / $62.13 / $87.86	Professional	TC	$16.34	$62.13	$87.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.08 / $73.00 / $212.59	Professional		$34.08	$73.00	$212.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.22 / $26.43 / $73.80	Professional	26	$13.22	$26.43	$73.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.00 / $41.16 / $138.79	Professional	TC	$16.00	$41.16	$138.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $88.87 / $128.86 / $274.30	Professional		$88.87	$128.86	$274.30
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $29.99 / $40.70 / $92.56	Professional	26	$29.99	$40.70	$92.56
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $85.38 / $181.73	Professional	TC	$58.88	$85.38	$181.73
United Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $71.69 / $92.61	Professional		$13.85	$71.69	$92.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.75 / $29.23 / $51.81	Professional	26	$17.75	$29.23	$51.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.26 / $42.10 / $73.72	Professional	TC	$25.26	$42.10	$73.72
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $54.47 / $65.36 / $101.32	Professional		$54.47	$65.36	$101.32
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $22.06 / $26.47 / $35.51	Professional	26	$22.06	$26.47	$35.51
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $32.19 / $38.22 / $57.19	Professional	TC	$32.19	$38.22	$57.19