Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.17 / $337.01 / $337.01	Facility	26	$82.17	$337.01	$337.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.08 / $387.95 / $1,205.24	Professional		$258.08	$387.95	$1,205.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.54 / $82.17 / $230.07	Professional	26	$66.54	$82.17	$230.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $65.72 / $94.33 / $105.20	Professional	26	$65.72	$94.33	$105.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.74 / $625.45 / $884.51	Professional		$259.74	$625.45	$884.51
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.84 / $174.85 / $247.27	Professional	26	$81.84	$174.85	$247.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.11 / $696.60 / $1,130.83	Professional		$390.11	$696.60	$1,130.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.81 / $171.23 / $250.75	Professional	26	$103.81	$171.23	$250.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $335.12 / $595.58 / $1,103.92	Professional		$335.12	$595.58	$1,103.92
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $93.69 / $166.51 / $308.62	Professional	26	$93.69	$166.51	$308.62
United Facility/Professional Professional Modifier Low / Median / High Price $413.38 / $499.50 / $904.50	Professional		$413.38	$499.50	$904.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.95 / $118.32 / $241.51	Professional	26	$82.95	$118.32	$241.51
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $215.05 / $295.91 / $453.19	Professional		$215.05	$295.91	$453.19
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $68.62 / $82.34 / $110.71	Professional	26	$68.62	$82.34	$110.71