Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.70 / $232.47 / $232.47	Facility	26	$89.70	$232.47	$232.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.75 / $307.30 / $356.54	Professional		$214.75	$307.30	$356.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.93 / $57.51 / $64.00	Professional	26	$46.93	$57.51	$64.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.52 / $148.52 / $148.52	Professional		$148.52	$148.52	$148.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $110.46 / $110.46 / $110.46	Professional	26	$110.46	$110.46	$110.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.43 / $413.28 / $599.25	Professional		$193.43	$413.28	$599.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.58 / $123.02 / $173.97	Professional	26	$57.58	$123.02	$173.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.81 / $75.81 / $75.81	Facility	26	$75.81	$75.81	$75.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.80 / $475.08 / $872.03	Professional		$266.80	$475.08	$872.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.42 / $121.18 / $177.88	Professional	26	$73.42	$121.18	$177.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $221.44 / $393.54 / $729.45	Professional		$221.44	$393.54	$729.45
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $65.91 / $117.14 / $217.11	Professional	26	$65.91	$117.14	$217.11
United Facility/Professional Professional Modifier Low / Median / High Price $289.93 / $350.79 / $740.17	Professional		$289.93	$350.79	$740.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.98 / $91.90 / $379.11	Professional	26	$59.98	$91.90	$379.11
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $184.38 / $253.71 / $364.76	Professional		$184.38	$253.71	$364.76
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $48.43 / $58.05 / $78.53	Professional	26	$48.43	$58.05	$78.53