Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.29 / $117.93 / $118.58	Professional		$114.29	$117.93	$118.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.02 / $55.67 / $210.00	Professional	26	$52.02	$55.67	$210.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.62 / $64.34 / $206.24	Professional	TC	$58.62	$64.34	$206.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $32.97 / $32.97 / $216.78	Professional	26	$32.97	$32.97	$216.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.22 / $244.71 / $327.33	Professional		$63.22	$244.71	$327.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.10 / $111.18 / $148.72	Professional	26	$28.10	$111.18	$148.72
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.26 / $133.53 / $178.62	Professional	TC	$33.26	$133.53	$178.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.47 / $154.25 / $469.87	Professional		$74.47	$154.25	$469.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.97 / $67.86 / $186.49	Professional	26	$32.97	$67.86	$186.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.00 / $102.75 / $283.38	Professional	TC	$31.00	$102.75	$283.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $190.33 / $275.98 / $587.45	Professional		$190.33	$275.98	$587.45
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $74.80 / $108.46 / $230.87	Professional	26	$74.80	$108.46	$230.87
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $115.53 / $167.52 / $356.58	Professional	TC	$115.53	$167.52	$356.58
United Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $161.75 / $229.79	Professional		$80.00	$161.75	$229.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.95 / $73.98 / $131.18	Professional	26	$44.95	$73.98	$131.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.10 / $86.83 / $152.04	Professional	TC	$52.10	$86.83	$152.04
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $122.73 / $143.35 / $216.50	Professional		$122.73	$143.35	$216.50
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $55.87 / $67.04 / $89.95	Professional	26	$55.87	$67.04	$89.95
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $64.04 / $78.09 / $110.02	Professional	TC	$64.04	$78.09	$110.02