Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.02 / $21.09	Professional		$15.14	$16.02	$21.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.18 / $12.46 / $71.45	Professional	26	$9.18	$12.46	$71.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.65 / $6.56 / $7.40	Professional	TC	$5.65	$6.56	$7.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.87 / $5.87 / $38.56	Professional	26	$5.87	$5.87	$38.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $33.24 / $44.96	Professional		$8.44	$33.24	$44.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.98 / $19.61 / $26.23	Professional	26	$4.98	$19.61	$26.23
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.46 / $13.62 / $19.26	Professional	TC	$3.46	$13.62	$19.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $20.63 / $56.70	Professional		$10.02	$20.63	$56.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.86 / $11.77 / $32.22	Professional	26	$5.86	$11.77	$32.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $4.16 / $8.32 / $24.47	Professional	TC	$4.16	$8.32	$24.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $26.25 / $69.72	Professional		$13.89	$26.25	$69.72
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $13.33 / $20.00 / $41.14	Professional	26	$13.33	$20.00	$41.14
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $9.26 / $11.18 / $28.58	Professional	TC	$9.26	$11.18	$28.58
United Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $23.54 / $56.79	Professional		$14.85	$23.54	$56.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.89 / $13.15 / $23.97	Professional	26	$7.89	$13.15	$23.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $5.63 / $9.02 / $11.67	Professional	TC	$5.63	$9.02	$11.67
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $19.86 / $29.99	Professional		$16.73	$19.86	$29.99
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $9.73 / $11.66 / $15.78	Professional	26	$9.73	$11.66	$15.78
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $6.10 / $8.27 / $11.59	Professional	TC	$6.10	$8.27	$11.59