Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.04 / $80.50 / $101.21	Professional		$65.04	$80.50	$101.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.09 / $27.89 / $32.51	Professional	26	$26.09	$27.89	$32.51
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $32.52 / $40.25 / $50.61	Professional	52	$32.52	$40.25	$50.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.00 / $47.99 / $72.31	Professional	TC	$38.00	$47.99	$72.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $205.73 / $205.73 / $205.73	Professional		$205.73	$205.73	$205.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.13 / $76.42 / $116.74	Professional		$61.13	$76.42	$116.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.55 / $32.39 / $48.79	Professional	26	$25.55	$32.39	$48.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.58 / $44.02 / $67.93	Professional	TC	$35.58	$44.02	$67.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $84.48 / $148.78	Professional		$58.23	$84.48	$148.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.98 / $32.74 / $62.37	Professional	26	$23.98	$32.74	$62.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.75 / $49.61 / $86.41	Professional	TC	$35.75	$49.61	$86.41
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $45.49 / $77.41 / $185.37	Professional		$45.49	$77.41	$185.37
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $21.03 / $32.36 / $82.85	Professional	26	$21.03	$32.36	$82.85
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $29.29 / $45.06 / $107.87	Professional	TC	$29.29	$45.06	$107.87
United Facility/Professional Professional Modifier Low / Median / High Price $50.92 / $85.57 / $155.63	Professional		$50.92	$85.57	$155.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.67 / $30.73 / $47.11	Professional	26	$19.67	$30.73	$47.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.84 / $48.86 / $93.29	Professional	TC	$27.84	$48.86	$93.29
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $55.30 / $74.22 / $103.21	Professional		$55.30	$74.22	$103.21
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $21.17 / $24.91 / $34.34	Professional	26	$21.17	$24.91	$34.34
Well Sense Facility/Professional Professional Modifier 52 Low / Median / High Price $15.42 / $18.50 / $20.82	Professional	52	$15.42	$18.50	$20.82
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $28.94 / $39.07 / $54.81	Professional	TC	$28.94	$39.07	$54.81