Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.69 / $60.99 / $84.64	Professional		$56.69	$60.99	$84.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.13 / $23.55 / $312.00	Professional	26	$21.13	$23.55	$312.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.56 / $37.43 / $63.08	Professional	TC	$35.56	$37.43	$63.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $90.08 / $90.08 / $90.08	Professional	26	$90.08	$90.08	$90.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $71.33 / $100.87	Professional		$29.52	$71.33	$100.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.63 / $17.52 / $24.77	Professional	26	$11.63	$17.52	$24.77
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.48 / $53.81 / $76.09	Professional	TC	$17.48	$53.81	$76.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $109.97 / $321.39	Professional		$37.47	$109.97	$321.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.01 / $27.53 / $77.48	Professional	26	$14.01	$27.53	$77.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.96 / $79.93 / $243.90	Professional	TC	$22.96	$79.93	$243.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $122.57 / $166.35 / $378.31	Professional		$122.57	$166.35	$378.31
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $31.11 / $42.22 / $96.02	Professional	26	$31.11	$42.22	$96.02
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $91.46 / $132.62 / $282.29	Professional	TC	$91.46	$132.62	$282.29
United Facility/Professional Professional Modifier Low / Median / High Price $58.33 / $97.21 / $170.21	Professional		$58.33	$97.21	$170.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.41 / $30.32 / $53.70	Professional	26	$18.41	$30.32	$53.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.92 / $63.87 / $82.57	Professional	TC	$39.92	$63.87	$82.57
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $59.93 / $86.56 / $130.72	Professional		$59.93	$86.56	$130.72
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $22.85 / $27.97 / $41.96	Professional	26	$22.85	$27.97	$41.96
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $38.34 / $58.95 / $82.53	Professional	TC	$38.34	$58.95	$82.53