Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.44 / $85.89 / $85.89	Facility	26	$57.44	$85.89	$85.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.73 / $107.95 / $300.10	Professional		$82.73	$107.95	$300.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.67 / $21.42 / $59.54	Professional	26	$17.67	$21.42	$59.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.25 / $42.99 / $87.06	Professional	26	$28.25	$42.99	$87.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.45 / $170.96 / $241.77	Professional		$116.45	$170.96	$241.77
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.88 / $54.14 / $76.42	Professional	26	$36.88	$54.14	$76.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.66 / $203.15 / $372.09	Professional		$148.66	$203.15	$372.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.54 / $55.22 / $112.97	Professional	26	$32.54	$55.22	$112.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $133.31 / $236.92 / $439.14	Professional		$133.31	$236.92	$439.14
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $42.21 / $73.01 / $139.04	Professional	26	$42.21	$73.01	$139.04
United Facility/Professional Professional Modifier Low / Median / High Price $89.95 / $157.58 / $251.71	Professional		$89.95	$157.58	$251.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.62 / $51.80 / $86.72	Professional	26	$22.62	$51.80	$86.72
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $92.33 / $112.79 / $170.35	Professional		$92.33	$112.79	$170.35
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $21.34 / $31.41 / $47.12	Professional	26	$21.34	$31.41	$47.12