Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.54 / $38.90 / $91.20	Facility	26	$27.54	$38.90	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $363.08	Professional		$93.33	$144.54	$363.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $33.88 / $85.11	Professional	26	$22.91	$33.88	$85.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $91.20 / $194.98	Professional	TC	$74.13	$91.20	$194.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $32.36 / $56.23	Professional	26	$19.95	$32.36	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $251.19 / $354.81	Professional		$102.33	$251.19	$354.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $63.10 / $89.13	Professional	26	$24.55	$63.10	$89.13
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $190.55 / $263.03	Professional	TC	$75.86	$190.55	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $288.40	Professional		$112.20	$190.55	$288.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $45.71 / $72.44	Professional	26	$28.18	$45.71	$72.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $144.54 / $223.87	Professional	TC	$83.18	$144.54	$223.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $275.42	Professional		$117.49	$181.97	$275.42
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $44.67 / $66.07	Professional	26	$28.84	$44.67	$66.07
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $138.04 / $204.17	Professional	TC	$89.13	$138.04	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $309.03	Professional		$112.20	$169.82	$309.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $41.69 / $75.86	Professional	26	$26.92	$41.69	$75.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $128.82 / $234.42	Professional	TC	$83.18	$128.82	$234.42