Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $34.54 / $40.47	Professional		$33.29	$34.54	$40.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.75 / $23.61 / $72.78	Professional	26	$22.75	$23.61	$72.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.39 / $10.92 / $17.72	Professional	TC	$9.39	$10.92	$17.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $95.57 / $95.57 / $95.57	Professional	26	$95.57	$95.57	$95.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $86.11 / $115.18	Professional		$21.74	$86.11	$115.18
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.18 / $48.51 / $64.89	Professional	26	$12.18	$48.51	$64.89
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.64 / $37.60 / $50.29	Professional	TC	$8.64	$37.60	$50.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $54.12 / $152.09	Professional		$26.10	$54.12	$152.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.54 / $29.58 / $81.27	Professional	26	$14.54	$29.58	$81.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.39 / $19.50 / $70.81	Professional	TC	$10.39	$19.50	$70.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $57.45 / $82.42 / $187.44	Professional		$57.45	$82.42	$187.44
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $32.96 / $41.22 / $101.03	Professional	26	$32.96	$41.22	$101.03
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $27.77 / $40.27 / $85.71	Professional	TC	$27.77	$40.27	$85.71
United Facility/Professional Professional Modifier Low / Median / High Price $37.70 / $56.98 / $76.52	Professional		$37.70	$56.98	$76.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.76 / $32.93 / $57.66	Professional	26	$19.76	$32.93	$57.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.46 / $23.10 / $27.43	Professional	TC	$16.46	$23.10	$27.43
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $36.44 / $49.57 / $76.03	Professional		$36.44	$49.57	$76.03
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $24.41 / $29.26 / $39.58	Professional	26	$24.41	$29.26	$39.58
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $10.14 / $21.28 / $29.78	Professional	TC	$10.14	$21.28	$29.78