Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.64 / $35.64 / $35.64	Facility	26	$35.64	$35.64	$35.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.55 / $6.62 / $13.53	Professional	26	$5.55	$6.62	$13.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.84 / $21.58 / $38.31	Professional	TC	$18.84	$21.58	$38.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.32 / $27.32 / $27.32	Professional	26	$27.32	$27.32	$27.32
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.61 / $48.46 / $78.56	Professional	26	$23.61	$48.46	$78.56
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.00 / $152.01 / $246.45	Professional	TC	$61.00	$152.01	$246.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.58 / $44.25 / $66.06	Professional	26	$29.58	$44.25	$66.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $96.51 / $144.37 / $215.52	Professional	TC	$96.51	$144.37	$215.52
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $26.56 / $39.69 / $75.88	Professional	26	$26.56	$39.69	$75.88
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $84.80 / $131.12 / $261.74	Professional	TC	$84.80	$131.12	$261.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.55 / $49.27 / $81.73	Professional	26	$47.55	$49.27	$81.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $84.80 / $158.93 / $238.06	Professional	TC	$84.80	$158.93	$238.06