Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.57 / $12.03 / $25.65	Facility	26	$8.57	$12.03	$25.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.39 / $36.97 / $64.28	Professional		$30.39	$36.97	$64.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.25 / $8.57 / $14.97	Professional	26	$7.25	$8.57	$14.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.81 / $28.22 / $36.79	Professional	TC	$20.81	$28.22	$36.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $64.40 / $89.26	Professional		$27.30	$64.40	$89.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $10.92 / $25.64	Professional	26	$8.02	$10.92	$25.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $43.27 / $70.15	Professional		$26.52	$43.27	$70.15
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $12.66 / $19.75	Professional	26	$7.76	$12.66	$19.75
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.76 / $30.61 / $49.62	Professional	TC	$18.76	$30.61	$49.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.67 / $51.01 / $80.79	Professional		$32.67	$51.01	$80.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.22 / $13.15 / $22.06	Professional	26	$9.22	$13.15	$22.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.29 / $36.27 / $57.98	Professional	TC	$23.29	$36.27	$57.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $28.63 / $46.94 / $93.71	Professional		$28.63	$46.94	$93.71
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $8.89 / $13.34 / $27.44	Professional	26	$8.89	$13.34	$27.44
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $21.48 / $32.58 / $66.30	Professional	TC	$21.48	$32.58	$66.30
United Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $51.52 / $95.00	Professional		$35.46	$51.52	$95.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.75 / $12.69 / $28.43	Professional	26	$8.75	$12.69	$28.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.32 / $41.65 / $71.50	Professional	TC	$26.32	$41.65	$71.50
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $28.48 / $34.18 / $50.24	Professional		$28.48	$34.18	$50.24
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $6.45 / $7.74 / $10.45	Professional	26	$6.45	$7.74	$10.45
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $21.82 / $26.15 / $38.01	Professional	TC	$21.82	$26.15	$38.01