Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.04 / $50.37 / $84.91	Professional		$49.04	$50.37	$84.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.52 / $45.87 / $312.00	Professional	26	$20.52	$45.87	$312.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.52 / $35.82 / $83.46	Professional	TC	$28.52	$35.82	$83.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.05 / $13.05 / $85.80	Professional	26	$13.05	$13.05	$85.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.99 / $105.73 / $141.43	Professional		$26.99	$105.73	$141.43
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $43.59 / $61.64	Professional	26	$11.07	$43.59	$61.64
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.92 / $62.13 / $83.75	Professional	TC	$15.92	$62.13	$83.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $67.19 / $206.59	Professional		$33.60	$67.19	$206.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.43 / $26.86 / $106.16	Professional	26	$13.43	$26.86	$106.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.55 / $41.09 / $117.16	Professional	TC	$20.55	$41.09	$117.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $56.43 / $94.00 / $232.01	Professional		$56.43	$94.00	$232.01
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $29.62 / $37.32 / $91.42	Professional	26	$29.62	$37.32	$91.42
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $45.55 / $61.82 / $140.59	Professional	TC	$45.55	$61.82	$140.59
United Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $68.56 / $123.55	Professional		$42.34	$68.56	$123.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.53 / $28.87 / $51.15	Professional	26	$17.53	$28.87	$51.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.81 / $41.09 / $72.40	Professional	TC	$24.81	$41.09	$72.40
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $58.96 / $75.04 / $105.93	Professional		$58.96	$75.04	$105.93
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $21.77 / $30.48 / $63.32	Professional	26	$21.77	$30.48	$63.32
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