Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.97 / $14.97 / $14.97	Facility	26	$14.97	$14.97	$14.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $37.83 / $48.66	Professional		$30.51	$37.83	$48.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $14.97 / $19.60	Professional	26	$11.07	$14.97	$19.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.74 / $22.86 / $29.06	Professional	TC	$20.74	$22.86	$29.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.17 / $42.17 / $71.44	Professional		$42.17	$42.17	$71.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.44 / $49.81 / $72.79	Professional		$29.44	$49.81	$72.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $16.75 / $24.80	Professional	26	$10.02	$16.75	$24.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.41 / $32.45 / $47.99	Professional	TC	$19.41	$32.45	$47.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.51 / $58.80 / $89.01	Professional		$34.51	$58.80	$89.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.56 / $20.79 / $34.54	Professional	26	$11.56	$20.79	$34.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.94 / $37.33 / $56.61	Professional	TC	$22.94	$37.33	$56.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $23.59 / $53.02 / $111.01	Professional		$23.59	$53.02	$111.01
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $18.88 / $37.82	Professional	26	$11.48	$18.88	$37.82
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $22.92 / $39.49 / $73.19	Professional	TC	$22.92	$39.49	$73.19
United Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $60.30 / $126.82	Professional		$37.89	$60.30	$126.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.44 / $22.18 / $47.47	Professional	26	$14.44	$22.18	$47.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.45 / $37.72 / $79.34	Professional	TC	$23.45	$37.72	$79.34
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $29.68 / $34.97 / $52.36	Professional		$29.68	$34.97	$52.36
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $10.81 / $12.96 / $17.54	Professional	26	$10.81	$12.96	$17.54
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $18.66 / $21.95 / $30.25	Professional	TC	$18.66	$21.95	$30.25