Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.71 / $98.72 / $98.72	Facility	26	$51.71	$98.72	$98.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.20 / $116.89 / $154.88	Professional		$97.20	$116.89	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.07 / $31.51 / $32.61	Professional	26	$24.07	$31.51	$32.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.69 / $79.39 / $130.81	Professional	TC	$65.69	$79.39	$130.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.46 / $27.46 / $27.46	Professional	26	$27.46	$27.46	$27.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.71 / $177.26 / $249.89	Professional		$140.71	$177.26	$249.89
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.61 / $34.29 / $54.54	Professional	26	$25.61	$34.29	$54.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $106.42 / $141.19 / $203.47	Professional	TC	$106.42	$141.19	$203.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.40 / $293.12 / $443.33	Professional		$183.40	$293.12	$443.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.62 / $47.27 / $67.94	Professional	26	$30.62	$47.27	$67.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.36 / $246.48 / $377.34	Professional	TC	$144.36	$246.48	$377.34
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $178.85 / $317.17 / $589.15	Professional		$178.85	$317.17	$589.15
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $39.25 / $67.89 / $121.15	Professional	26	$39.25	$67.89	$121.15
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $139.60 / $245.18 / $430.88	Professional	TC	$139.60	$245.18	$430.88
United Facility/Professional Professional Modifier Low / Median / High Price $174.35 / $266.14 / $557.89	Professional		$174.35	$266.14	$557.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.62 / $43.74 / $89.57	Professional	26	$30.62	$43.74	$89.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.22 / $238.19 / $472.87	Professional	TC	$147.22	$238.19	$472.87
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $121.36 / $151.81 / $208.97	Professional		$121.36	$151.81	$208.97
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $20.28 / $26.45 / $37.58	Professional	26	$20.28	$26.45	$37.58
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $90.05 / $108.06 / $170.55	Professional	TC	$90.05	$108.06	$170.55