Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $95.50 / $275.42	Professional		$50.12	$95.50	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $58.88 / $199.53	Professional	26	$22.91	$58.88	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $42.66 / $177.83	Professional	TC	$28.84	$42.66	$177.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $85.11 / $87.10	Professional	26	$13.18	$85.11	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $104.71 / $141.25	Professional		$40.74	$104.71	$141.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $43.65 / $77.62	Professional	26	$22.39	$43.65	$77.62
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $61.66 / $83.18	Professional	TC	$18.62	$61.66	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $69.18 / $208.93	Professional		$33.88	$69.18	$208.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $26.92 / $107.15	Professional	26	$13.80	$26.92	$107.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $42.66 / $117.49	Professional	TC	$20.42	$42.66	$117.49
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $204.17	Professional		$75.86	$109.65	$204.17
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $39.81 / $81.28	Professional	26	$30.20	$39.81	$81.28
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $60.26 / $125.89	Professional	TC	$45.71	$60.26	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $85.11 / $181.97	Professional		$67.61	$85.11	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $33.88 / $72.44	Professional	26	$26.30	$33.88	$72.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $51.29 / $107.15	Professional	TC	$39.81	$51.29	$107.15