Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $43.49 / $47.28	Professional		$41.20	$43.49	$47.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.47 / $27.61 / $88.92	Professional	26	$24.47	$27.61	$88.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.84 / $15.87 / $17.45	Professional	TC	$14.84	$15.87	$17.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.82 / $16.82 / $110.62	Professional	26	$16.82	$16.82	$110.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $87.20 / $116.64	Professional		$22.01	$87.20	$116.64
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.12 / $56.13 / $75.08	Professional	26	$14.12	$56.13	$75.08
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.89 / $31.07 / $42.15	Professional	TC	$7.89	$31.07	$42.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $56.03 / $155.56	Professional		$27.72	$56.03	$155.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.82 / $34.28 / $94.21	Professional	26	$16.82	$34.28	$94.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.21 / $22.03 / $61.36	Professional	TC	$10.21	$22.03	$61.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $62.58 / $84.93 / $193.15	Professional		$62.58	$84.93	$193.15
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $38.14 / $55.30 / $117.72	Professional	26	$38.14	$55.30	$117.72
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $24.44 / $33.17 / $75.43	Professional	TC	$24.44	$33.17	$75.43
United Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $58.33 / $152.13	Professional		$35.00	$58.33	$152.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.83 / $38.04 / $135.69	Professional	26	$22.83	$38.04	$135.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.87 / $20.29 / $43.94	Professional	TC	$13.87	$20.29	$43.94
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $44.01 / $52.81 / $77.63	Professional		$44.01	$52.81	$77.63
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $26.63 / $33.09 / $45.72	Professional	26	$26.63	$33.09	$45.72
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $15.61 / $18.84 / $28.26	Professional	TC	$15.61	$18.84	$28.26