Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.06 / $86.53 / $110.44	Professional		$85.06	$86.53	$110.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.72 / $32.22 / $104.08	Professional	26	$26.72	$32.22	$104.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.42 / $54.30 / $83.72	Professional	TC	$51.42	$54.30	$83.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $111.54 / $111.54 / $111.54	Professional	26	$111.54	$111.54	$111.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $227.83 / $304.76	Professional		$41.39	$227.83	$304.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.40 / $56.68 / $75.81	Professional	26	$14.40	$56.68	$75.81
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.92 / $121.57 / $228.93	Professional	TC	$24.92	$121.57	$228.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.43 / $141.59 / $422.95	Professional		$53.43	$141.59	$422.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.46 / $34.90 / $95.94	Professional	26	$17.46	$34.90	$95.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.60 / $95.41 / $327.01	Professional	TC	$25.60	$95.41	$327.01
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $160.34 / $232.49 / $494.89	Professional		$160.34	$232.49	$494.89
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $38.51 / $52.27 / $118.04	Professional	26	$38.51	$52.27	$118.04
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $121.83 / $176.65 / $376.03	Professional	TC	$121.83	$176.65	$376.03
United Facility/Professional Professional Modifier Low / Median / High Price $79.63 / $132.71 / $232.38	Professional		$79.63	$132.71	$232.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.37 / $40.61 / $63.71	Professional	26	$24.37	$40.61	$63.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.93 / $121.83 / $369.79	Professional	TC	$64.93	$121.83	$369.79
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $116.46 / $178.64	Professional		$94.00	$116.46	$178.64
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $28.28 / $37.28 / $52.07	Professional	26	$28.28	$37.28	$52.07
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $56.71 / $83.94 / $117.50	Professional	TC	$56.71	$83.94	$117.50