Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.10 / $148.43 / $148.43	Facility	26	$59.10	$148.43	$148.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.29 / $71.34 / $156.78	Professional		$62.29	$71.34	$156.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.76 / $45.28 / $83.32	Professional	26	$40.76	$45.28	$83.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.53 / $24.33 / $73.45	Professional	TC	$21.53	$24.33	$73.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.31 / $45.31 / $45.31	Professional	26	$45.31	$45.31	$45.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.01 / $155.99 / $265.99	Professional		$76.01	$155.99	$265.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.14 / $80.31 / $134.43	Professional	26	$39.14	$80.31	$134.43
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.88 / $75.67 / $122.68	Professional	TC	$36.88	$75.67	$122.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.50 / $126.03 / $217.32	Professional		$92.50	$126.03	$217.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.82 / $73.20 / $108.83	Professional	26	$52.82	$73.20	$108.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.70 / $57.08 / $108.69	Professional	TC	$32.70	$57.08	$108.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $70.28 / $122.37 / $266.74	Professional		$70.28	$122.37	$266.74
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $44.03 / $66.34 / $135.51	Professional	26	$44.03	$66.34	$135.51
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $42.21 / $66.31 / $119.56	Professional	TC	$42.21	$66.31	$119.56
United Facility/Professional Professional Modifier Low / Median / High Price $77.80 / $115.44 / $249.70	Professional		$77.80	$115.44	$249.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.53 / $69.02 / $126.21	Professional	26	$44.53	$69.02	$126.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.32 / $45.25 / $93.50	Professional	TC	$32.32	$45.25	$93.50
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $58.02 / $69.62 / $102.35	Professional		$58.02	$69.62	$102.35
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $33.14 / $41.43 / $56.10	Professional	26	$33.14	$41.43	$56.10
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $21.86 / $28.61 / $40.04	Professional	TC	$21.86	$28.61	$40.04