Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $53.70 / $186.21	Professional		$23.99	$53.70	$186.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $21.38 / $45.71	Professional	26	$5.01	$21.38	$45.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $37.15 / $165.96	Professional	TC	$18.20	$37.15	$165.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $21.38 / $21.38	Professional	26	$21.38	$21.38	$21.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $50.12 / $67.61	Professional		$22.39	$50.12	$67.61
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $10.96 / $14.45	Professional	26	$3.02	$10.96	$14.45
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $38.90 / $52.48	Professional	TC	$19.95	$38.90	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $39.81 / $93.33	Professional		$16.60	$39.81	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.24 / $6.92 / $21.88	Professional	26	$3.24	$6.92	$21.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $26.92 / $75.86	Professional	TC	$13.49	$26.92	$75.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $53.70 / $102.33	Professional		$36.31	$53.70	$102.33
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $9.55 / $20.89	Professional	26	$7.76	$9.55	$20.89
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $42.66 / $81.28	Professional	TC	$30.20	$42.66	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $40.74 / $83.18	Professional		$31.62	$40.74	$83.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $8.71 / $17.78	Professional	26	$6.76	$8.71	$17.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $30.90 / $66.07	Professional	TC	$23.99	$30.90	$66.07