Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.78 / $31.62 / $67.61	Facility	26	$17.78	$31.62	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $107.15 / $338.84	Professional		$63.10	$107.15	$338.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $28.18 / $60.26	Professional	26	$15.85	$28.18	$60.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $26.30 / $33.11	Professional	26	$19.05	$26.30	$33.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $218.78	Professional		$81.28	$125.89	$218.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $38.02 / $50.12	Professional	26	$24.55	$38.02	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $177.83 / $288.40	Professional		$102.33	$177.83	$288.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $37.15 / $72.44	Professional	26	$24.55	$37.15	$72.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $223.87	Professional		$93.33	$144.54	$223.87
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $44.67 / $64.57	Professional	26	$28.84	$44.67	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $524.81	Professional		$89.13	$125.89	$524.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $33.11 / $58.88	Professional	26	$18.20	$33.11	$58.88
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $17.78 / $17.78	Facility	26	$15.14	$17.78	$17.78