Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $188.43 / $268.07 / $341.49	Facility	26	$188.43	$268.07	$341.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.14 / $295.37 / $461.30	Professional		$259.14	$295.37	$461.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $161.72 / $183.69 / $263.60	Professional	26	$161.72	$183.69	$263.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.38 / $112.47 / $165.88	Professional	TC	$97.38	$112.47	$165.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $260.06 / $321.57 / $663.28	Professional		$260.06	$321.57	$663.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.85 / $302.05 / $464.44	Professional		$271.85	$302.05	$464.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $175.11 / $188.95 / $298.23	Professional	26	$175.11	$188.95	$298.23
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $97.69 / $109.36 / $164.35	Professional	TC	$97.69	$109.36	$164.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.72 / $502.83 / $851.49	Professional		$330.72	$502.83	$851.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $211.36 / $316.20 / $539.29	Professional	26	$211.36	$316.20	$539.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $119.36 / $186.63 / $312.20	Professional	TC	$119.36	$186.63	$312.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $314.76 / $518.88 / $971.51	Professional		$314.76	$518.88	$971.51
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $202.92 / $320.47 / $626.30	Professional	26	$202.92	$320.47	$626.30
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $111.83 / $183.96 / $345.16	Professional	TC	$111.83	$183.96	$345.16
United Facility/Professional Professional Modifier Low / Median / High Price $357.24 / $501.83 / $1,032.27	Professional		$357.24	$501.83	$1,032.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $211.46 / $305.08 / $640.16	Professional	26	$211.46	$305.08	$640.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.68 / $187.05 / $392.11	Professional	TC	$120.68	$187.05	$392.11
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $240.26 / $288.31 / $423.08	Professional		$240.26	$288.31	$423.08
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $146.90 / $174.81 / $259.13	Professional	26	$146.90	$174.81	$259.13
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $92.95 / $110.61 / $168.08	Professional	TC	$92.95	$110.61	$168.08