Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $28.84 / $74.13	Professional		$15.14	$28.84	$74.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $29.51 / $83.18	Professional	26	$8.91	$29.51	$83.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.01 / $6.61 / $23.99	Professional	TC	$5.01	$6.61	$23.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $5.89 / $38.90	Professional	26	$5.75	$5.89	$38.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $33.11 / $44.67	Professional		$9.12	$33.11	$44.67
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $19.50 / $26.30	Professional	26	$5.37	$19.50	$26.30
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.72 / $13.49 / $18.20	Professional	TC	$3.72	$13.49	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $20.89 / $56.23	Professional		$10.00	$20.89	$56.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $12.30 / $32.36	Professional	26	$5.89	$12.30	$32.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $4.17 / $8.51 / $24.55	Professional	TC	$4.17	$8.51	$24.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $26.30 / $61.66	Professional		$13.80	$26.30	$61.66
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $21.38 / $37.15	Professional	26	$14.79	$21.38	$37.15
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $9.33 / $11.48 / $23.44	Professional	TC	$9.33	$11.48	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $24.55 / $56.23	Professional		$16.22	$24.55	$56.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $14.79 / $32.36	Professional	26	$11.48	$14.79	$32.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.71 / $10.96 / $24.55	Professional	TC	$8.71	$10.96	$24.55