Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $98.80 / $122.03	Professional		$92.10	$98.80	$122.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.47 / $32.97 / $177.90	Professional	26	$28.47	$32.97	$177.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.45 / $65.81 / $93.56	Professional	TC	$62.45	$65.81	$93.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.28 / $18.28 / $120.22	Professional	26	$18.28	$18.28	$120.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $278.51 / $372.56	Professional		$69.20	$278.51	$372.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.23 / $59.96 / $80.20	Professional	26	$15.23	$59.96	$80.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.98 / $218.56 / $292.36	Professional	TC	$53.98	$218.56	$292.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.87 / $171.98 / $488.25	Professional		$82.87	$171.98	$488.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.64 / $37.29 / $102.47	Professional	26	$18.64	$37.29	$102.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.28 / $119.95 / $385.78	Professional	TC	$63.28	$119.95	$385.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $191.45 / $259.83 / $590.91	Professional		$191.45	$259.83	$590.91
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $41.47 / $56.28 / $127.12	Professional	26	$41.47	$56.28	$127.12
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $149.97 / $217.46 / $462.88	Professional	TC	$149.97	$217.46	$462.88
United Facility/Professional Professional Modifier Low / Median / High Price $108.93 / $181.55 / $317.89	Professional		$108.93	$181.55	$317.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.08 / $40.54 / $62.21	Professional	26	$26.08	$40.54	$62.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $84.60 / $135.41 / $246.89	Professional	TC	$84.60	$135.41	$246.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $101.84 / $162.21 / $263.04	Professional		$101.84	$162.21	$263.04
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $30.02 / $35.97 / $51.76	Professional	26	$30.02	$35.97	$51.76
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $68.41 / $124.94 / $180.80	Professional	TC	$68.41	$124.94	$180.80