Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $132.46 / $132.46 / $244.21	Facility	26	$132.46	$132.46	$244.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $230.25 / $377.06	Professional		$202.40	$230.25	$377.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $115.15 / $132.46 / $186.19	Professional	26	$115.15	$132.46	$186.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $78.31 / $97.79 / $133.88	Professional	TC	$78.31	$97.79	$133.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $235.91 / $287.20 / $486.59	Professional		$235.91	$287.20	$486.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.52 / $223.89 / $340.40	Professional		$201.52	$223.89	$340.40
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $123.59 / $133.58 / $210.06	Professional	26	$123.59	$133.58	$210.06
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $76.66 / $92.36 / $128.97	Professional	TC	$76.66	$92.36	$128.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.62 / $378.27 / $630.95	Professional		$242.62	$378.27	$630.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $148.91 / $226.05 / $379.69	Professional	26	$148.91	$226.05	$379.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.70 / $158.71 / $251.26	Professional	TC	$93.70	$158.71	$251.26
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $230.70 / $379.50 / $712.06	Professional		$230.70	$379.50	$712.06
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $142.94 / $232.85 / $441.18	Professional	26	$142.94	$232.85	$441.18
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $87.76 / $144.37 / $270.87	Professional	TC	$87.76	$144.37	$270.87
United Facility/Professional Professional Modifier Low / Median / High Price $247.45 / $371.57 / $780.00	Professional		$247.45	$371.57	$780.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $147.41 / $213.59 / $452.61	Professional	26	$147.41	$213.59	$452.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $103.97 / $161.22 / $327.39	Professional	TC	$103.97	$161.22	$327.39
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $181.51 / $217.81 / $320.18	Professional		$181.51	$217.81	$320.18
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $103.88 / $123.62 / $183.24	Professional	26	$103.88	$123.62	$183.24
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $77.63 / $92.38 / $136.94	Professional	TC	$77.63	$92.38	$136.94