Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $66.07 / $102.33	Professional		$44.67	$66.07	$102.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $26.92 / $51.29	Professional	26	$18.20	$26.92	$51.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $38.02 / $61.66	Professional	TC	$25.70	$38.02	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.11 / $151.36	Professional		$63.10	$85.11	$151.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $35.48 / $63.10	Professional	26	$26.30	$35.48	$63.10
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $95.50 / $131.83 / $229.09	Professional	50	$95.50	$131.83	$229.09
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $50.12 / $89.13	Professional	TC	$37.15	$50.12	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $87.10 / $154.88	Professional		$58.88	$87.10	$154.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $33.11 / $64.57	Professional	26	$23.99	$33.11	$64.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $51.29 / $89.13	Professional	TC	$35.48	$51.29	$89.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $77.62 / $158.49	Professional		$52.48	$77.62	$158.49
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $31.62 / $66.07	Professional	26	$21.88	$31.62	$66.07
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $45.71 / $93.33	Professional	TC	$30.90	$45.71	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $144.54	Professional		$51.29	$79.43	$144.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $30.90 / $57.54	Professional	26	$19.50	$30.90	$57.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $45.71 / $89.13	Professional	TC	$28.18	$45.71	$89.13
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $19.95 / $19.95	Facility	26	$19.95	$19.95	$19.95
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13