Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $158.49 / $158.49	Facility	26	$158.49	$158.49	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $251.19	Professional		$70.79	$87.10	$251.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $57.54 / $131.83	Professional	26	$38.90	$57.54	$131.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $42.66 / $107.15	Professional	TC	$23.99	$42.66	$107.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $112.20	Professional		$75.86	$100.00	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $204.17 / $302.00	Professional		$83.18	$204.17	$302.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $95.50 / $147.91	Professional	26	$40.74	$95.50	$147.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $100.00 / $151.36	Professional	TC	$41.69	$100.00	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $245.47	Professional		$93.33	$141.25	$245.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $75.86 / $120.23	Professional	26	$51.29	$75.86	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $63.10 / $128.82	Professional	TC	$35.48	$63.10	$128.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $218.78	Professional		$91.20	$134.90	$218.78
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $67.61 / $114.82	Professional	26	$44.67	$67.61	$114.82
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $67.61 / $114.82	Professional	TC	$45.71	$67.61	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $229.09	Professional		$77.62	$120.23	$229.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $70.79 / $125.89	Professional	26	$42.66	$70.79	$125.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $53.70 / $109.65	Professional	TC	$32.36	$53.70	$109.65
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $30.90 / $51.29	Facility	26	$26.30	$30.90	$51.29