Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $16.60 / $16.60	Facility	26	$16.60	$16.60	$16.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $21.88 / $37.15	Professional		$12.88	$21.88	$37.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.00 / $3.98 / $6.76	Professional	26	$2.00	$3.98	$6.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $16.98 / $28.84	Professional	TC	$10.96	$16.98	$28.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $16.22	Professional		$11.75	$11.75	$16.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $29.51 / $43.65	Professional		$16.22	$29.51	$43.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $2.69 / $5.50 / $7.76	Professional	26	$2.69	$5.50	$7.76
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $24.55 / $35.48	Professional	TC	$13.80	$24.55	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $29.51 / $47.86	Professional		$17.78	$29.51	$47.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.09 / $6.31 / $10.72	Professional	26	$3.09	$6.31	$10.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $23.99 / $38.90	Professional	TC	$14.79	$23.99	$38.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $26.92 / $43.65	Professional		$17.78	$26.92	$43.65
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $2.95 / $4.37 / $7.08	Professional	26	$2.95	$4.37	$7.08
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $20.89 / $36.31	Professional	TC	$15.14	$20.89	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $31.62 / $57.54	Professional		$19.05	$31.62	$57.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.24 / $6.17 / $10.47	Professional	26	$3.24	$6.17	$10.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $25.12 / $45.71	Professional	TC	$15.49	$25.12	$45.71
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $1.66 / $1.95 / $3.31	Facility	26	$1.66	$1.95	$3.31