Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.21 / $191.42 / $881.85	Facility		$155.21	$191.42	$881.85
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.10 / $56.10 / $92.84	Facility	26	$56.10	$56.10	$92.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.05 / $183.93 / $272.47	Professional		$143.05	$183.93	$272.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.86 / $49.38 / $64.97	Professional	26	$36.86	$49.38	$64.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $105.81 / $134.55 / $170.10	Professional	TC	$105.81	$134.55	$170.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.01 / $43.01 / $48.79	Professional	26	$43.01	$43.01	$48.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,581.30 / $1,757.00 / $3,498.00	Facility		$1,581.30	$1,757.00	$3,498.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.53 / $196.84 / $294.06	Professional		$124.53	$196.84	$294.06
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.20 / $54.18 / $87.84	Professional	26	$37.20	$54.18	$87.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $87.34 / $143.18 / $206.23	Professional	TC	$87.34	$143.18	$206.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.93 / $286.38 / $521.04	Professional		$150.93	$286.38	$521.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.23 / $80.87 / $138.19	Professional	26	$44.23	$80.87	$138.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $106.70 / $214.90 / $375.75	Professional	TC	$106.70	$214.90	$375.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $142.57 / $235.03 / $440.04	Professional		$142.57	$235.03	$440.04
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $42.58 / $69.36 / $131.41	Professional	26	$42.58	$69.36	$131.41
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $99.98 / $164.47 / $308.58	Professional	TC	$99.98	$164.47	$308.58
United Facility/Professional Professional Modifier Low / Median / High Price $195.32 / $295.69 / $571.99	Professional		$195.32	$295.69	$571.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.56 / $69.63 / $139.78	Professional	26	$49.56	$69.63	$139.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $132.63 / $210.56 / $427.59	Professional	TC	$132.63	$210.56	$427.59
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $146.72 / $183.53 / $1,547.40	Professional		$146.72	$183.53	$1,547.40
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $31.98 / $39.97 / $62.72	Professional	26	$31.98	$39.97	$62.72
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $101.40 / $126.75 / $1,319.71	Professional	TC	$101.40	$126.75	$1,319.71