Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.72 / $223.97 / $223.97	Facility	26	$85.72	$223.97	$223.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.04 / $349.00 / $1,087.85	Professional		$221.04	$349.00	$1,087.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.08 / $55.32 / $154.79	Professional	26	$45.08	$55.32	$154.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.93 / $43.93 / $43.93	Professional	26	$43.93	$43.93	$43.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.22 / $517.63 / $732.03	Professional		$233.22	$517.63	$732.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.99 / $117.49 / $166.15	Professional	26	$54.99	$117.49	$166.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.14 / $72.14 / $72.14	Facility	26	$72.14	$72.14	$72.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.62 / $579.02 / $917.53	Professional		$329.62	$579.02	$917.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.41 / $116.51 / $169.96	Professional	26	$70.41	$116.51	$169.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $277.35 / $492.91 / $913.62	Professional		$277.35	$492.91	$913.62
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $62.95 / $108.89 / $207.36	Professional	26	$62.95	$108.89	$207.36
United Facility/Professional Professional Modifier Low / Median / High Price $350.47 / $416.85 / $761.20	Professional		$350.47	$416.85	$761.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.80 / $80.69 / $165.08	Professional	26	$55.80	$80.69	$165.08
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $193.15 / $265.77 / $373.12	Professional		$193.15	$265.77	$373.12
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $46.55 / $55.79 / $75.47	Professional	26	$46.55	$55.79	$75.47