Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.36 / $713.81 / $1,677.02	Facility		$196.36	$713.81	$1,677.02
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.60 / $46.68 / $107.20	Facility	26	$34.60	$46.68	$107.20
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $161.75 / $229.08 / $1,310.84	Facility	TC	$161.75	$229.08	$1,310.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.69 / $204.13 / $462.62	Professional		$183.69	$204.13	$462.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.11 / $34.61 / $89.29	Professional	26	$32.11	$34.61	$89.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $161.75 / $171.43 / $451.72	Professional	TC	$161.75	$171.43	$451.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.69 / $147.07 / $436.07	Professional		$136.69	$147.07	$436.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.69 / $25.99 / $73.37	Professional	26	$23.69	$25.99	$73.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.88 / $202.95 / $356.71	Professional		$178.88	$202.95	$356.71
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.05 / $35.22 / $56.94	Professional	26	$31.05	$35.22	$56.94
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $147.82 / $167.72 / $275.58	Professional	TC	$147.82	$167.72	$275.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $728.80 / $1,243.24 / $1,395.81	Facility		$728.80	$1,243.24	$1,395.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.62 / $344.86 / $518.49	Professional		$210.62	$344.86	$518.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.65 / $58.26 / $87.34	Professional	26	$35.65	$58.26	$87.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $174.97 / $289.86 / $431.16	Professional	TC	$174.97	$289.86	$431.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $204.78 / $363.16 / $674.57	Professional		$204.78	$363.16	$674.57
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $35.54 / $61.49 / $109.73	Professional	26	$35.54	$61.49	$109.73
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $169.23 / $297.22 / $522.33	Professional	TC	$169.23	$297.22	$522.33
United Facility/Professional Professional Modifier Low / Median / High Price $221.59 / $358.41 / $669.27	Professional		$221.59	$358.41	$669.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.67 / $55.29 / $116.85	Professional	26	$35.67	$55.29	$116.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $178.09 / $272.50 / $553.37	Professional	TC	$178.09	$272.50	$553.37
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $166.95 / $199.92 / $298.52	Professional		$166.95	$199.92	$298.52
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $26.41 / $31.43 / $42.52	Professional	26	$26.41	$31.43	$42.52
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $131.21 / $162.69 / $248.51	Professional	TC	$131.21	$162.69	$248.51