Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $630.96 / $2,089.30	Professional		$338.84	$630.96	$2,089.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $162.18 / $288.40 / $549.54	Professional	26	$162.18	$288.40	$549.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $467.74 / $1,513.56	Professional	TC	$169.82	$467.74	$1,513.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $549.54 / $549.54 / $549.54	Professional	26	$549.54	$549.54	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $549.54 / $741.31	Professional		$173.78	$549.54	$741.31
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $281.84 / $371.54	Professional	26	$74.13	$281.84	$371.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $275.42 / $363.08	Professional	TC	$100.00	$275.42	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $154.88 / $154.88	Professional	26	$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $173.78 / $173.78	Professional	TC	$173.78	$173.78	$173.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $1,122.02	Professional		$389.05	$489.78	$1,122.02
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $194.98 / $275.42 / $524.81	Professional	26	$194.98	$275.42	$524.81
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $288.40 / $588.84	Professional	TC	$218.78	$288.40	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $1,122.02	Professional		$346.74	$467.74	$1,122.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $218.78 / $426.58	Professional	26	$169.82	$218.78	$426.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $245.47 / $602.56	Professional	TC	$162.18	$245.47	$602.56