Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $309.03 / $776.25	Professional		$72.44	$309.03	$776.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $77.62 / $446.68	Professional	26	$28.84	$77.62	$446.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $93.33 / $223.87	Professional	TC	$46.77	$93.33	$223.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $16.60 / $109.65	Professional	26	$16.60	$16.60	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $165.96 / $223.87	Professional		$44.67	$165.96	$223.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $54.95 / $74.13	Professional	26	$16.22	$54.95	$74.13
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $109.65 / $147.91	Professional	TC	$29.51	$109.65	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $120.23 / $295.12	Professional		$51.29	$120.23	$295.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $42.66 / $134.90	Professional	26	$17.38	$42.66	$134.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $72.44 / $204.17	Professional	TC	$33.88	$72.44	$204.17
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $346.74	Professional		$107.15	$151.36	$346.74
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $50.12 / $102.33	Professional	26	$38.02	$50.12	$102.33
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $128.82 / $245.47	Professional	TC	$89.13	$128.82	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $138.04 / $281.84	Professional		$66.07	$138.04	$281.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $42.66 / $97.72	Professional	26	$33.11	$42.66	$97.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $93.33 / $194.98	Professional	TC	$70.79	$93.33	$194.98