Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.48 / $75.72 / $91.31	Professional		$75.48	$75.72	$91.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.01 / $48.76 / $717.56	Professional	26	$46.01	$48.76	$717.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.95 / $31.59 / $36.61	Professional	TC	$26.95	$31.59	$36.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.41 / $29.41 / $193.34	Professional	26	$29.41	$29.41	$193.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $163.51 / $218.72	Professional		$39.89	$163.51	$218.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.78 / $97.56 / $130.50	Professional	26	$24.78	$97.56	$130.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.48 / $65.95 / $88.22	Professional	TC	$13.48	$65.95	$88.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.62 / $99.57 / $282.52	Professional		$47.62	$99.57	$282.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.40 / $60.17 / $165.36	Professional	26	$29.40	$60.17	$165.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.83 / $40.76 / $117.16	Professional	TC	$15.83	$40.76	$117.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $80.47 / $139.84 / $345.16	Professional		$80.47	$139.84	$345.16
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $66.65 / $90.46 / $204.30	Professional	26	$66.65	$90.46	$204.30
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $45.18 / $61.32 / $139.44	Professional	TC	$45.18	$61.32	$139.44
United Facility/Professional Professional Modifier Low / Median / High Price $67.67 / $102.68 / $167.44	Professional		$67.67	$102.68	$167.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.71 / $66.22 / $115.95	Professional	26	$42.71	$66.22	$115.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.96 / $52.50 / $123.43	Professional	TC	$24.96	$52.50	$123.43
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $92.56 / $136.75	Professional		$77.52	$92.56	$136.75
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $49.10 / $58.84 / $79.61	Professional	26	$49.10	$58.84	$79.61
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $28.07 / $32.79 / $45.19	Professional	TC	$28.07	$32.79	$45.19