Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.75 / $137.63 / $137.63	Facility	26	$51.75	$137.63	$137.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $70.16 / $141.18	Professional		$63.84	$70.16	$141.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.40 / $44.39 / $86.19	Professional	26	$34.40	$44.39	$86.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.41 / $23.57 / $68.04	Professional	TC	$20.41	$23.57	$68.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.01 / $65.01 / $65.01	Professional		$65.01	$65.01	$65.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $91.47 / $203.07	Professional		$34.29	$91.47	$203.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.11 / $45.96 / $87.62	Professional	26	$38.11	$45.96	$87.62
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.12 / $39.11 / $90.10	Professional	TC	$21.12	$39.11	$90.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.92 / $123.99 / $197.17	Professional		$83.92	$123.99	$197.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.43 / $67.98 / $104.40	Professional	26	$46.43	$67.98	$104.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.55 / $53.07 / $101.25	Professional	TC	$31.55	$53.07	$101.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $39.84 / $86.84 / $194.92	Professional		$39.84	$86.84	$194.92
United Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $104.08 / $195.84	Professional		$69.09	$104.08	$195.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.25 / $60.32 / $116.37	Professional	26	$39.25	$60.32	$116.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.84 / $43.66 / $97.67	Professional	TC	$29.84	$43.66	$97.67
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $53.80 / $64.56 / $92.05	Professional		$53.80	$64.56	$92.05
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $29.04 / $39.20 / $54.29	Professional	26	$29.04	$39.20	$54.29
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $21.13 / $26.61 / $37.26	Professional	TC	$21.13	$26.61	$37.26