Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.17 / $242.81 / $261.62	Professional		$189.17	$242.81	$261.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.07 / $145.21 / $763.18	Professional	26	$61.07	$145.21	$763.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $124.25 / $179.03 / $187.49	Professional	TC	$124.25	$179.03	$187.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.69 / $254.42 / $254.42	Professional	26	$38.69	$254.42	$254.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $453.47 / $606.60	Professional		$108.00	$453.47	$606.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.94 / $130.27 / $174.26	Professional	26	$32.94	$130.27	$174.26
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.86 / $323.19 / $432.33	Professional	TC	$72.86	$323.19	$432.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $285.58 / $811.39	Professional		$130.22	$285.58	$811.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.69 / $79.64 / $218.85	Professional	26	$38.69	$79.64	$218.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.54 / $192.10 / $592.54	Professional	TC	$59.54	$192.10	$592.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $318.45 / $461.77 / $982.93	Professional		$318.45	$461.77	$982.93
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $87.76 / $127.25 / $270.87	Professional	26	$87.76	$127.25	$270.87
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $230.70 / $334.52 / $712.06	Professional	TC	$230.70	$334.52	$712.06
United Facility/Professional Professional Modifier Low / Median / High Price $174.47 / $281.50 / $509.17	Professional		$174.47	$281.50	$509.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.57 / $93.77 / $268.17	Professional	26	$56.57	$93.77	$268.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $121.80 / $203.01 / $355.47	Professional	TC	$121.80	$203.01	$355.47
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $202.87 / $255.19 / $416.26	Professional		$202.87	$255.19	$416.26
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $65.05 / $77.97 / $105.48	Professional	26	$65.05	$77.97	$105.48
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $132.12 / $179.84 / $275.85	Professional	TC	$132.12	$179.84	$275.85