Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $86.58 / $976.98	Professional		$70.81	$86.58	$976.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.90 / $37.78 / $246.21	Professional	26	$25.90	$37.78	$246.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.82 / $47.24 / $94.25	Professional	TC	$43.82	$47.24	$94.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.48 / $16.48 / $108.39	Professional	26	$16.48	$16.48	$108.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.97 / $165.69 / $221.64	Professional		$40.97	$165.69	$221.64
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.84 / $55.05 / $73.64	Professional	26	$13.84	$55.05	$73.64
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.13 / $110.64 / $149.56	Professional	TC	$27.13	$110.64	$149.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.70 / $111.86 / $298.35	Professional		$51.70	$111.86	$298.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.96 / $33.93 / $134.11	Professional	26	$16.96	$33.93	$134.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.10 / $73.27 / $205.12	Professional	TC	$26.10	$73.27	$205.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $124.79 / $180.95 / $385.16	Professional		$124.79	$180.95	$385.16
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $37.40 / $50.76 / $115.44	Professional	26	$37.40	$50.76	$115.44
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $87.39 / $118.61 / $269.73	Professional	TC	$87.39	$118.61	$269.73
United Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $133.34 / $343.13	Professional		$66.34	$133.34	$343.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.37 / $37.28 / $65.28	Professional	26	$22.37	$37.28	$65.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.98 / $73.31 / $83.73	Professional	TC	$43.98	$73.31	$83.73
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $84.92 / $101.90 / $149.80	Professional		$84.92	$101.90	$149.80
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $27.91 / $36.84 / $51.66	Professional	26	$27.91	$36.84	$51.66
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $56.61 / $66.59 / $91.80	Professional	TC	$56.61	$66.59	$91.80