Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $23.99 / $50.12	Facility	26	$23.99	$23.99	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $85.11	Professional		$30.20	$36.31	$85.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $28.18 / $81.28	Professional	26	$19.95	$28.18	$81.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $12.02 / $22.39	Professional	TC	$10.00	$12.02	$22.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.11 / $39.81	Professional		$28.18	$33.11	$39.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $25.12 / $25.12	Professional	26	$25.12	$25.12	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $70.79 / $100.00	Professional		$37.15	$70.79	$100.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $42.66 / $63.10	Professional	26	$22.91	$42.66	$63.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $25.12 / $36.31	Professional	TC	$14.45	$25.12	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $51.29 / $93.33	Professional		$38.02	$51.29	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $33.11 / $58.88	Professional	26	$24.55	$33.11	$58.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $17.78 / $34.67	Professional	TC	$12.59	$17.78	$34.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $54.95 / $95.50	Professional		$31.62	$54.95	$95.50
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $37.15 / $60.26	Professional	26	$25.12	$37.15	$60.26
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $21.38 / $37.15	Professional	TC	$15.14	$21.38	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $52.48 / $97.72	Professional		$34.67	$52.48	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $34.67 / $61.66	Professional	26	$22.91	$34.67	$61.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.75 / $18.20 / $36.31	Professional	TC	$11.75	$18.20	$36.31
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $16.22 / $26.92	Facility	26	$13.80	$16.22	$26.92