Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $11.95 / $22.43	Professional		$11.63	$11.95	$22.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.27 / $3.53 / $13.53	Professional	26	$3.27	$3.53	$13.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.36 / $8.60 / $18.89	Professional	TC	$8.36	$8.60	$18.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.87 / $13.87 / $13.87	Professional	26	$13.87	$13.87	$13.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.23 / $24.53 / $33.61	Professional		$6.23	$24.53	$33.61
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $1.80 / $7.09 / $9.48	Professional	26	$1.80	$7.09	$9.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $4.43 / $17.44 / $24.66	Professional	TC	$4.43	$17.44	$24.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $16.55 / $45.85	Professional		$8.27	$16.55	$45.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.11 / $4.34 / $13.00	Professional	26	$2.11	$4.34	$13.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $6.17 / $12.33 / $36.39	Professional	TC	$6.17	$12.33	$36.39
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $23.34 / $57.16	Professional		$17.11	$23.34	$57.16
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $4.80 / $6.01 / $13.50	Professional	26	$4.80	$6.01	$13.50
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $13.70 / $18.59 / $42.28	Professional	TC	$13.70	$18.59	$42.28
United Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $16.38 / $27.07	Professional		$9.83	$16.38	$27.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.85 / $4.69 / $8.32	Professional	26	$2.85	$4.69	$8.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $6.98 / $11.63 / $20.36	Professional	TC	$6.98	$11.63	$20.36
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $17.34 / $26.01	Professional		$13.36	$17.34	$26.01
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $3.50 / $4.20 / $5.69	Professional	26	$3.50	$4.20	$5.69
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $8.94 / $11.09 / $19.30	Professional	TC	$8.94	$11.09	$19.30