Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.87 / $67.37 / $67.37	Facility	26	$17.87	$67.37	$67.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.68 / $186.16 / $277.55	Professional		$101.68	$186.16	$277.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.26 / $17.87 / $51.35	Professional	26	$13.26	$17.87	$51.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.84 / $18.84 / $19.75	Professional	26	$18.84	$18.84	$19.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.69 / $111.13 / $196.45	Professional		$75.69	$111.13	$196.45
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.61 / $34.67 / $49.03	Professional	26	$23.61	$34.67	$49.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.83 / $173.92 / $292.54	Professional		$100.83	$173.92	$292.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.97 / $37.36 / $72.04	Professional	26	$24.97	$37.36	$72.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $86.65 / $153.99 / $285.43	Professional		$86.65	$153.99	$285.43
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $27.03 / $46.76 / $89.04	Professional	26	$27.03	$46.76	$89.04
United Facility/Professional Professional Modifier Low / Median / High Price $92.84 / $112.19 / $339.52	Professional		$92.84	$112.19	$339.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.07 / $32.60 / $48.77	Professional	26	$19.07	$32.60	$48.77
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $58.87 / $82.42 / $141.12	Professional		$58.87	$82.42	$141.12
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $16.80 / $21.45 / $27.30	Professional	26	$16.80	$21.45	$27.30