Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.51 / $54.51 / $54.51	Facility	26	$54.51	$54.51	$54.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.08 / $286.43 / $299.41	Professional		$273.08	$286.43	$299.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.29 / $40.32 / $40.90	Professional	26	$37.29	$40.32	$40.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $236.99 / $248.47 / $258.50	Professional	TC	$236.99	$248.47	$258.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.46 / $35.46 / $119.47	Professional	26	$35.46	$35.46	$119.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.72 / $270.85 / $472.44	Professional		$238.72	$270.85	$472.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.54 / $41.47 / $66.40	Professional	26	$36.54	$41.47	$66.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $202.17 / $229.38 / $388.16	Professional	TC	$202.17	$229.38	$388.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.93 / $454.16 / $674.37	Professional		$280.93	$454.16	$674.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.64 / $65.73 / $95.65	Professional	26	$41.64	$65.73	$95.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.29 / $387.98 / $581.83	Professional	TC	$239.29	$387.98	$581.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $273.27 / $485.67 / $900.21	Professional		$273.27	$485.67	$900.21
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $41.84 / $72.37 / $129.13	Professional	26	$41.84	$72.37	$129.13
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $231.44 / $400.34 / $714.34	Professional	TC	$231.44	$400.34	$714.34
United Facility/Professional Professional Modifier Low / Median / High Price $309.87 / $442.62 / $947.57	Professional		$309.87	$442.62	$947.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.17 / $63.94 / $130.90	Professional	26	$42.17	$63.94	$130.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $241.74 / $398.87 / $785.46	Professional	TC	$241.74	$398.87	$785.46
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $215.74 / $267.52 / $380.57	Professional		$215.74	$267.52	$380.57
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $29.30 / $35.11 / $55.89	Professional	26	$29.30	$35.11	$55.89
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $184.89 / $221.61 / $352.72	Professional	TC	$184.89	$221.61	$352.72