Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $72.44 / $190.55	Facility	26	$61.66	$72.44	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $724.44	Professional		$138.04	$213.80	$724.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $63.10 / $162.18	Professional	26	$36.31	$63.10	$162.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $141.25 / $346.74	Professional	TC	$100.00	$141.25	$346.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $46.77 / $54.95	Professional	26	$29.51	$46.77	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $251.19	Professional		$144.54	$181.97	$251.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $42.66 / $60.26	Professional	26	$37.15	$42.66	$60.26
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $138.04 / $190.55	Professional	TC	$107.15	$138.04	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $457.09	Professional		$181.97	$288.40	$457.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $74.13 / $120.23	Professional	26	$41.69	$74.13	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $223.87 / $338.84	Professional	TC	$134.90	$223.87	$338.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $281.84 / $416.87	Professional		$181.97	$281.84	$416.87
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $67.61 / $97.72	Professional	26	$43.65	$67.61	$97.72
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $213.80 / $316.23	Professional	TC	$141.25	$213.80	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $281.84 / $524.81	Professional		$181.97	$281.84	$524.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $69.18 / $114.82	Professional	26	$40.74	$69.18	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $213.80 / $371.54	Professional	TC	$131.83	$213.80	$371.54