Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.76 / $25.45 / $44.82	Professional		$23.76	$25.45	$44.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.08 / $5.21 / $38.54	Professional	26	$5.08	$5.21	$38.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.68 / $20.23 / $39.61	Professional	TC	$18.68	$20.23	$39.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $3.25 / $3.25 / $21.37	Professional	26	$3.25	$3.25	$21.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $50.14 / $67.06	Professional		$12.87	$50.14	$67.06
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $2.77 / $10.86 / $14.58	Professional	26	$2.77	$10.86	$14.58
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.10 / $39.24 / $52.49	Professional	TC	$10.10	$39.24	$52.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.61 / $33.22 / $93.93	Professional		$16.61	$33.22	$93.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.25 / $6.69 / $22.00	Professional	26	$3.25	$6.69	$22.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.36 / $26.71 / $76.30	Professional	TC	$13.36	$26.71	$76.30
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $38.59 / $56.16 / $114.29	Professional		$38.59	$56.16	$114.29
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $10.74 / $22.87	Professional	26	$7.41	$10.74	$22.87
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $30.87 / $44.92 / $97.57	Professional	TC	$30.87	$44.92	$97.57
United Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $32.47 / $56.87	Professional		$19.48	$32.47	$56.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.69 / $8.61 / $20.66	Professional	26	$4.69	$8.61	$20.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.11 / $25.18 / $44.09	Professional	TC	$15.11	$25.18	$44.09
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $34.72 / $54.18	Professional		$27.29	$34.72	$54.18
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $5.43 / $6.47 / $8.74	Professional	26	$5.43	$6.47	$8.74
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $19.37 / $24.02 / $42.41	Professional	TC	$19.37	$24.02	$42.41