Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.27 / $67.09 / $67.09	Professional		$48.27	$67.09	$67.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.63 / $17.47 / $68.20	Professional	26	$16.63	$17.47	$68.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.64 / $49.47 / $49.64	Professional	TC	$31.64	$49.47	$49.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $69.73 / $69.73 / $69.73	Professional	26	$69.73	$69.73	$69.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.16 / $99.73 / $133.40	Professional		$26.16	$99.73	$133.40
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.00 / $35.43 / $47.39	Professional	26	$9.00	$35.43	$47.39
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.16 / $64.31 / $86.04	Professional	TC	$17.16	$64.31	$86.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.27 / $69.67 / $193.23	Professional		$33.27	$69.67	$193.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.91 / $21.32 / $59.99	Professional	26	$10.91	$21.32	$59.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.68 / $48.45 / $133.24	Professional	TC	$19.68	$48.45	$133.24
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $77.76 / $105.54 / $240.01	Professional		$77.76	$105.54	$240.01
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $24.07 / $32.67 / $74.29	Professional	26	$24.07	$32.67	$74.29
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $53.69 / $72.87 / $165.71	Professional	TC	$53.69	$72.87	$165.71
United Facility/Professional Professional Modifier Low / Median / High Price $39.06 / $65.09 / $72.67	Professional		$39.06	$65.09	$72.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.26 / $23.46 / $41.60	Professional	26	$14.26	$23.46	$41.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.80 / $41.34 / $191.02	Professional	TC	$24.80	$41.34	$191.02
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $51.39 / $64.31 / $93.85	Professional		$51.39	$64.31	$93.85
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $17.71 / $23.91 / $33.54	Professional	26	$17.71	$23.91	$33.54
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $31.84 / $38.21 / $56.17	Professional	TC	$31.84	$38.21	$56.17