Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $162.18 / $338.84	Facility	26	$81.28	$162.18	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $660.69	Professional		$251.19	$323.59	$660.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $109.65 / $263.03	Professional	26	$74.13	$109.65	$263.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $107.15 / $107.15	Professional	26	$107.15	$107.15	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $691.83 / $1,000.00	Professional		$263.03	$691.83	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $190.55 / $275.42	Professional	26	$83.18	$190.55	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $707.95 / $1,148.15	Professional		$389.05	$707.95	$1,148.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $169.82 / $257.04	Professional	26	$104.71	$169.82	$257.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $794.33	Professional		$346.74	$537.03	$794.33
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $147.91 / $218.78	Professional	26	$95.50	$147.91	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $912.01	Professional		$338.84	$501.19	$912.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $120.23 / $223.87	Professional	26	$83.18	$120.23	$223.87
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $63.10 / $63.10	Facility	26	$53.70	$63.10	$63.10