Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.79 / $136.50 / $136.50	Facility	26	$52.79	$136.50	$136.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $70.77 / $170.38	Professional		$57.43	$70.77	$170.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.65 / $41.46 / $79.15	Professional	26	$36.65	$41.46	$79.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.78 / $23.57 / $71.55	Professional	TC	$20.78	$23.57	$71.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.47 / $40.47 / $40.47	Professional	26	$40.47	$40.47	$40.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.04 / $154.00 / $262.60	Professional		$75.04	$154.00	$262.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.93 / $71.69 / $120.94	Professional	26	$34.93	$71.69	$120.94
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.11 / $82.31 / $133.44	Professional	TC	$40.11	$82.31	$133.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.30 / $123.14 / $215.83	Professional		$88.30	$123.14	$215.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.36 / $65.94 / $97.84	Professional	26	$47.36	$65.94	$97.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.77 / $62.09 / $117.99	Professional	TC	$31.77	$62.09	$117.99
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $128.86 / $265.16	Professional		$73.02	$128.86	$265.16
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $39.29 / $62.84 / $123.43	Professional	26	$39.29	$62.84	$123.43
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $45.13 / $72.15 / $141.72	Professional	TC	$45.13	$72.15	$141.72
United Facility/Professional Professional Modifier Low / Median / High Price $75.09 / $105.13 / $243.98	Professional		$75.09	$105.13	$243.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.70 / $64.22 / $122.58	Professional	26	$39.70	$64.22	$122.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.84 / $50.68 / $113.56	Professional	TC	$29.84	$50.68	$113.56
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $50.17 / $66.31 / $100.14	Professional		$50.17	$66.31	$100.14
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $29.86 / $38.39 / $51.59	Professional	26	$29.86	$38.39	$51.59
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $21.13 / $30.95 / $43.32	Professional	TC	$21.13	$30.95	$43.32