Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $126.54 / $353.38 / $353.38	Facility	26	$126.54	$353.38	$353.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $454.03 / $1,320.50	Professional		$400.00	$454.03	$1,320.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.49 / $127.50 / $353.38	Professional	26	$118.49	$127.50	$353.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.91 / $79.86 / $79.86	Professional	26	$64.91	$79.86	$79.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.14 / $572.91 / $821.50	Professional		$268.14	$572.91	$821.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.19 / $173.47 / $245.32	Professional	26	$81.19	$173.47	$245.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.91 / $114.91 / $114.91	Facility	26	$114.91	$114.91	$114.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.75 / $643.26 / $1,276.35	Professional		$369.75	$643.26	$1,276.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.01 / $172.54 / $249.96	Professional	26	$104.01	$172.54	$249.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $306.98 / $545.55 / $1,011.22	Professional		$306.98	$545.55	$1,011.22
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $92.95 / $163.25 / $306.19	Professional	26	$92.95	$163.25	$306.19
United Facility/Professional Professional Modifier Low / Median / High Price $394.50 / $477.47 / $889.87	Professional		$394.50	$477.47	$889.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.31 / $129.16 / $784.23	Professional	26	$91.31	$129.16	$784.23
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $426.55 / $511.86 / $767.75	Professional		$426.55	$511.86	$767.75
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $68.55 / $85.00 / $110.81	Professional	26	$68.55	$85.00	$110.81