Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.15 / $59.06 / $530.91	Professional		$54.15	$59.06	$530.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.94 / $33.52 / $217.52	Professional	26	$8.94	$33.52	$217.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.98 / $50.12 / $96.85	Professional	TC	$44.98	$50.12	$96.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.70 / $5.70 / $37.47	Professional	26	$5.70	$5.70	$37.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $127.53 / $170.59	Professional		$28.80	$127.53	$170.59
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.84 / $19.07 / $25.50	Professional	26	$4.84	$19.07	$25.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.76 / $108.47 / $145.10	Professional	TC	$23.76	$108.47	$145.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $75.72 / $234.52	Professional		$33.18	$75.72	$234.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.70 / $11.73 / $32.22	Professional	26	$5.70	$11.73	$32.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.59 / $70.53 / $202.29	Professional	TC	$27.59	$70.53	$202.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $91.09 / $132.08 / $281.14	Professional		$91.09	$132.08	$281.14
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $12.96 / $18.79 / $40.00	Professional	26	$12.96	$18.79	$40.00
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $78.13 / $113.29 / $241.15	Professional	TC	$78.13	$113.29	$241.15
United Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $80.06 / $114.77	Professional		$48.04	$80.06	$114.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.19 / $21.01 / $39.49	Professional	26	$8.19	$21.01	$39.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.36 / $64.59 / $76.84	Professional	TC	$40.36	$64.59	$76.84
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $61.35 / $73.62 / $108.22	Professional		$61.35	$73.62	$108.22
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $9.51 / $11.41 / $15.31	Professional	26	$9.51	$11.41	$15.31
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $51.47 / $61.68 / $83.45	Professional	TC	$51.47	$61.68	$83.45