Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.93 / $52.47 / $287.30	Professional		$30.93	$52.47	$287.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $14.20 / $94.58	Professional	26	$8.41	$14.20	$94.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.52 / $33.00 / $91.00	Professional	TC	$22.52	$33.00	$91.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.38 / $5.38 / $35.34	Professional	26	$5.38	$5.38	$35.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $65.95 / $102.25	Professional		$16.89	$65.95	$102.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.57 / $17.98 / $27.89	Professional	26	$4.57	$17.98	$27.89
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $12.32 / $47.96 / $74.36	Professional	TC	$12.32	$47.96	$74.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $44.06 / $121.08	Professional		$21.24	$44.06	$121.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.38 / $11.06 / $43.74	Professional	26	$5.38	$11.06	$43.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.86 / $31.73 / $90.68	Professional	TC	$15.86	$31.73	$90.68
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $59.27 / $146.30	Professional		$35.18	$59.27	$146.30
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $12.22 / $16.57 / $37.72	Professional	26	$12.22	$16.57	$37.72
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $36.65 / $53.35 / $115.89	Professional	TC	$36.65	$53.35	$115.89
United Facility/Professional Professional Modifier Low / Median / High Price $25.95 / $43.25 / $75.73	Professional		$25.95	$43.25	$75.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.75 / $12.06 / $12.91	Professional	26	$7.75	$12.06	$12.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.35 / $31.19 / $54.61	Professional	TC	$21.35	$31.19	$54.61
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $45.39 / $68.05	Professional		$36.29	$45.39	$68.05
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $8.92 / $10.68 / $14.46	Professional	26	$8.92	$10.68	$14.46
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $24.01 / $33.61 / $57.20	Professional	TC	$24.01	$33.61	$57.20