Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,258.93 / $3,090.30	Facility		$416.87	$1,258.93	$3,090.30
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $100.00 / $223.87	Facility	26	$69.18	$100.00	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $323.59 / $741.31	Professional		$194.98	$323.59	$741.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $72.44 / $208.93	Professional	26	$63.10	$72.44	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $181.97 / $512.86	Professional	TC	$125.89	$181.97	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $154.88 / $478.63	Professional		$134.90	$154.88	$478.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $67.61 / $93.33	Professional	26	$51.29	$67.61	$93.33
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $190.55 / $190.55	Professional	TC	$190.55	$190.55	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $501.19 / $707.95	Professional		$194.98	$501.19	$707.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $173.78 / $245.47	Professional	26	$67.61	$173.78	$245.47
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $323.59 / $457.09	Professional	TC	$128.82	$323.59	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $380.19 / $588.84	Professional		$239.88	$380.19	$588.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $123.03 / $199.53	Professional	26	$79.43	$123.03	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $269.15 / $416.87	Professional	TC	$158.49	$269.15	$416.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $354.81 / $524.81	Professional		$229.09	$354.81	$524.81
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $120.23 / $177.83	Professional	26	$79.43	$120.23	$177.83
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $234.42 / $346.74	Professional	TC	$151.36	$234.42	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $363.08 / $645.65	Professional		$218.78	$363.08	$645.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $112.20 / $213.80	Professional	26	$75.86	$112.20	$213.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $257.04 / $426.58	Professional	TC	$141.25	$257.04	$426.58