Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $57.54 / $223.87	Professional		$50.12	$57.54	$223.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $54.95 / $158.49	Professional	26	$20.89	$54.95	$158.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $36.31 / $154.88	Professional	TC	$30.20	$36.31	$154.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $87.10 / $87.10	Professional	26	$87.10	$87.10	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $104.71 / $141.25	Professional		$29.51	$104.71	$141.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $42.66 / $57.54	Professional	26	$12.02	$42.66	$57.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $61.66 / $83.18	Professional	TC	$17.78	$61.66	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $77.62 / $213.80	Professional		$35.48	$77.62	$213.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $26.92 / $74.13	Professional	26	$13.18	$26.92	$74.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $40.74 / $138.04	Professional	TC	$19.95	$40.74	$138.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $263.03	Professional		$97.72	$128.82	$263.03
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $40.74 / $83.18	Professional	26	$30.90	$40.74	$83.18
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $87.10 / $181.97	Professional	TC	$66.07	$87.10	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $97.72 / $208.93	Professional		$42.66	$97.72	$208.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $34.67 / $72.44	Professional	26	$26.92	$34.67	$72.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $66.07 / $144.54	Professional	TC	$40.74	$66.07	$144.54