Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $1,148.15	Professional		$281.84	$363.08	$1,148.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $331.13 / $870.96	Professional	26	$112.20	$331.13	$870.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $251.19 / $741.31	Professional	TC	$173.78	$251.19	$741.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $446.68 / $446.68 / $446.68	Professional	26	$446.68	$446.68	$446.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $691.83 / $933.25	Professional		$162.18	$691.83	$933.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $229.09 / $309.03	Professional	26	$61.66	$229.09	$309.03
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $457.09 / $616.60	Professional	TC	$102.33	$457.09	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $436.52 / $1,230.27	Professional		$213.80	$436.52	$1,230.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $147.91 / $389.05	Professional	26	$67.61	$147.91	$389.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $269.15 / $831.76	Professional	TC	$123.03	$269.15	$831.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $630.96 / $1,288.25	Professional		$478.63	$630.96	$1,288.25
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $204.17 / $426.58	Professional	26	$154.88	$204.17	$426.58
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $426.58 / $870.96	Professional	TC	$323.59	$426.58	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $512.86 / $1,122.02	Professional		$263.03	$512.86	$1,122.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $173.78 / $380.19	Professional	26	$134.90	$173.78	$380.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $338.84 / $741.31	Professional	TC	$275.42	$338.84	$741.31