Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $181.97 / $436.52	Professional		$89.13	$181.97	$436.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $190.55 / $741.31	Professional	26	$42.66	$190.55	$741.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $83.18 / $257.04	Professional	TC	$56.23	$83.18	$257.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $128.82 / $128.82	Professional	26	$19.95	$128.82	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $194.98 / $263.03	Professional		$54.95	$194.98	$263.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $66.07 / $91.20	Professional	26	$20.42	$66.07	$91.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $128.82 / $173.78	Professional	TC	$35.48	$128.82	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $123.03 / $338.84	Professional		$58.88	$123.03	$338.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $51.29 / $109.65	Professional	26	$20.89	$51.29	$109.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $79.43 / $229.09	Professional	TC	$39.81	$79.43	$229.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $380.19	Professional		$138.04	$186.21	$380.19
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $60.26 / $123.03	Professional	26	$44.67	$60.26	$123.03
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $123.03 / $257.04	Professional	TC	$93.33	$123.03	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $338.84	Professional		$123.03	$158.49	$338.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $51.29 / $123.03	Professional	26	$39.81	$51.29	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $107.15 / $223.87	Professional	TC	$83.18	$107.15	$223.87