Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.88 / $11.05 / $25.75	Facility	26	$7.88	$11.05	$25.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $30.37 / $83.17	Professional		$28.13	$30.37	$83.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $8.16 / $20.39	Professional	26	$6.98	$8.16	$20.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.16 / $22.48 / $62.74	Professional	TC	$21.16	$22.48	$62.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.21 / $58.21 / $58.21	Professional		$58.21	$58.21	$58.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.09 / $7.83 / $22.39	Professional	26	$7.09	$7.83	$22.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $51.66 / $89.18	Professional		$23.94	$51.66	$89.18
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.79 / $14.28 / $24.64	Professional	26	$6.79	$14.28	$24.64
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.14 / $36.04 / $62.19	Professional	TC	$17.14	$36.04	$62.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.90 / $54.87 / $91.02	Professional		$31.90	$54.87	$91.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.77 / $13.41 / $20.26	Professional	26	$8.77	$13.41	$20.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.04 / $39.49 / $67.61	Professional	TC	$23.04	$39.49	$67.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $25.63 / $43.11 / $84.57	Professional		$25.63	$43.11	$84.57
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $12.24 / $22.04	Professional	26	$7.78	$12.24	$22.04
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $19.63 / $34.89 / $64.66	Professional	TC	$19.63	$34.89	$64.66
United Facility/Professional Professional Modifier Low / Median / High Price $31.34 / $53.38 / $83.92	Professional		$31.34	$53.38	$83.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $12.24 / $22.96	Professional	26	$8.13	$12.24	$22.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.40 / $40.40 / $127.90	Professional	TC	$26.40	$40.40	$127.90
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $26.44 / $37.61	Professional		$23.45	$26.44	$37.61
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $5.67 / $7.03 / $9.84	Professional	26	$5.67	$7.03	$9.84
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $15.65 / $18.78 / $27.80	Professional	TC	$15.65	$18.78	$27.80