Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $44.70 / $108.94	Facility	26	$19.05	$44.70	$108.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.92 / $43.64 / $170.80	Professional		$30.92	$43.64	$170.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $23.60 / $66.45	Professional	26	$19.05	$23.60	$66.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $37.36 / $114.57	Professional		$37.36	$37.36	$114.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.03 / $77.47 / $112.78	Professional		$50.03	$77.47	$112.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.14 / $45.53 / $66.27	Professional	26	$28.14	$45.53	$66.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.38 / $99.68 / $148.82	Professional		$58.38	$99.68	$148.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.78 / $58.53 / $86.10	Professional	26	$33.78	$58.53	$86.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $98.05 / $180.52	Professional		$47.34	$98.05	$180.52
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $32.22 / $63.92 / $106.14	Professional	26	$32.22	$63.92	$106.14
United Facility/Professional Professional Modifier Low / Median / High Price $62.48 / $73.17 / $194.97	Professional		$62.48	$73.17	$194.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.52 / $45.95 / $86.02	Professional	26	$39.52	$45.95	$86.02
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $48.01 / $60.22 / $90.95	Professional		$48.01	$60.22	$90.95
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $30.72 / $36.86 / $50.88	Professional	26	$30.72	$36.86	$50.88