Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.20 / $182.37 / $182.37	Facility	26	$89.20	$182.37	$182.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.59 / $172.58 / $253.45	Professional		$159.59	$172.58	$253.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.90 / $42.60 / $77.84	Professional	26	$36.90	$42.60	$77.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.83 / $45.83 / $45.83	Professional	26	$45.83	$45.83	$45.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.63 / $306.31 / $433.18	Professional		$208.63	$306.31	$433.18
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.25 / $84.06 / $118.66	Professional	26	$57.25	$84.06	$118.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.98 / $407.28 / $672.49	Professional		$264.98	$407.28	$672.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.95 / $97.09 / $176.89	Professional	26	$67.95	$97.09	$176.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $238.84 / $424.47 / $786.76	Professional		$238.84	$424.47	$786.76
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $65.54 / $113.37 / $215.90	Professional	26	$65.54	$113.37	$215.90
United Facility/Professional Professional Modifier Low / Median / High Price $170.49 / $279.12 / $553.23	Professional		$170.49	$279.12	$553.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.49 / $83.01 / $134.72	Professional	26	$47.49	$83.01	$134.72
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $177.45 / $207.26 / $313.02	Professional		$177.45	$207.26	$313.02
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $43.41 / $55.46 / $72.34	Professional	26	$43.41	$55.46	$72.34