Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.81 / $45.06 / $45.06	Facility	26	$14.81	$45.06	$45.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $39.81 / $46.10	Professional		$34.61	$39.81	$46.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.53 / $14.81 / $34.72	Professional	26	$12.53	$14.81	$34.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.09 / $25.20 / $30.46	Professional	TC	$22.09	$25.20	$30.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $33.22 / $33.22	Professional		$33.22	$33.22	$33.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.16 / $16.16 / $16.16	Professional	26	$16.16	$16.16	$16.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.85 / $61.74 / $98.92	Professional		$37.85	$61.74	$98.92
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.59 / $22.16 / $34.57	Professional	26	$13.59	$22.16	$34.57
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.26 / $39.58 / $61.74	Professional	TC	$24.26	$39.58	$61.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.81 / $61.71 / $107.62	Professional		$43.81	$61.71	$107.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.96 / $23.07 / $37.99	Professional	26	$15.96	$23.07	$37.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.55 / $37.78 / $69.63	Professional	TC	$25.55	$37.78	$69.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $62.14 / $133.74	Professional		$29.14	$62.14	$133.74
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $15.55 / $24.04 / $48.00	Professional	26	$15.55	$24.04	$48.00
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $27.78 / $45.68 / $85.71	Professional	TC	$27.78	$45.68	$85.71
United Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $59.23 / $114.09	Professional		$39.70	$59.23	$114.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.30 / $22.20 / $41.25	Professional	26	$15.30	$22.20	$41.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.55 / $37.04 / $72.41	Professional	TC	$25.55	$37.04	$72.41
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $31.03 / $36.24 / $54.74	Professional		$31.03	$36.24	$54.74
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $11.37 / $13.64 / $18.30	Professional	26	$11.37	$13.64	$18.30
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $19.52 / $23.39 / $37.24	Professional	TC	$19.52	$23.39	$37.24