Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $28.18 / $34.67	Facility	26	$18.20	$28.18	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $66.07 / $346.74	Professional		$52.48	$66.07	$346.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $21.38 / $77.62	Professional	26	$15.85	$21.38	$77.62
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $199.53 / $199.53 / $199.53	Professional	50	$199.53	$199.53	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $43.65 / $75.86	Professional	TC	$36.31	$43.65	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $218.78	Professional		$57.54	$83.18	$218.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $25.70 / $25.70	Professional	26	$25.70	$25.70	$25.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $154.88	Professional		$64.57	$100.00	$154.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $28.18 / $46.77	Professional	26	$18.20	$28.18	$46.77
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $66.07 / $107.15	Professional	TC	$45.71	$66.07	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $213.80	Professional		$70.79	$107.15	$213.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $31.62 / $63.10	Professional	26	$20.89	$31.62	$63.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $75.86 / $151.36	Professional	TC	$48.98	$75.86	$151.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $169.82	Professional		$70.79	$107.15	$169.82
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $30.20 / $47.86	Professional	26	$19.95	$30.20	$47.86
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $83.18 / $123.03	Professional	TC	$53.70	$83.18	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $186.21	Professional		$70.79	$102.33	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $30.20 / $52.48	Professional	26	$20.42	$30.20	$52.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $72.44 / $125.89	Professional	TC	$50.12	$72.44	$125.89
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $11.22 / $11.22 / $13.18	Facility	26	$11.22	$11.22	$13.18