Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.29 / $89.84 / $89.84	Facility	26	$34.29	$89.84	$89.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.40 / $101.56 / $132.86	Professional		$85.40	$101.56	$132.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.02 / $21.07 / $23.94	Professional	26	$18.02	$21.07	$23.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.39 / $18.39 / $18.39	Professional	26	$18.39	$18.39	$18.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.41 / $188.54 / $266.63	Professional		$128.41	$188.54	$266.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.00 / $32.29 / $45.66	Professional	26	$22.00	$32.29	$45.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.13 / $221.79 / $414.33	Professional		$150.13	$221.79	$414.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.74 / $46.41 / $68.92	Professional	26	$28.74	$46.41	$68.92
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $147.01 / $261.27 / $484.27	Professional		$147.01	$261.27	$484.27
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $25.18 / $43.56 / $82.95	Professional	26	$25.18	$43.56	$82.95
United Facility/Professional Professional Modifier Low / Median / High Price $105.80 / $174.60 / $285.86	Professional		$105.80	$174.60	$285.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.40 / $31.25 / $62.44	Professional	26	$24.40	$31.25	$62.44
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $97.76 / $120.30 / $181.69	Professional		$97.76	$120.30	$181.69
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $18.57 / $22.26 / $30.12	Professional	26	$18.57	$22.26	$30.12