Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.21 / $63.00 / $590.34	Professional		$53.21	$63.00	$590.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.07 / $76.05 / $794.30	Professional	26	$16.07	$76.05	$794.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.11 / $39.17 / $94.25	Professional	TC	$37.11	$39.17	$94.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.38 / $13.38 / $88.01	Professional	26	$13.38	$13.38	$88.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.85 / $146.61 / $196.12	Professional		$35.85	$146.61	$196.12
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.21 / $44.69 / $59.78	Professional	26	$11.21	$44.69	$59.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.64 / $101.92 / $136.33	Professional	TC	$24.64	$101.92	$136.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $92.94 / $255.40	Professional		$44.94	$92.94	$255.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.38 / $26.77 / $74.75	Professional	26	$13.38	$26.77	$74.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.44 / $65.73 / $180.66	Professional	TC	$30.44	$65.73	$180.66
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $107.02 / $155.18 / $330.32	Professional		$107.02	$155.18	$330.32
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $30.36 / $44.02 / $93.71	Professional	26	$30.36	$44.02	$93.71
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $76.65 / $104.03 / $236.58	Professional	TC	$76.65	$104.03	$236.58
United Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $152.60 / $331.60	Professional		$65.44	$152.60	$331.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.28 / $29.97 / $52.48	Professional	26	$19.28	$29.97	$52.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.16 / $67.31 / $76.94	Professional	TC	$46.16	$67.31	$76.94
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $58.81 / $86.70 / $140.59	Professional		$58.81	$86.70	$140.59
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $18.13 / $25.70 / $35.97	Professional	26	$18.13	$25.70	$35.97
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $40.67 / $59.66 / $84.67	Professional	TC	$40.67	$59.66	$84.67