Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.64 / $127.50 / $127.50	Facility	26	$17.64	$127.50	$127.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $425.00 / $1,320.50	Professional		$78.45	$425.00	$1,320.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.32 / $127.50 / $254.90	Professional	26	$16.32	$127.50	$254.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.72 / $37.44 / $37.44	Professional	26	$15.72	$37.44	$37.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.99 / $93.99 / $134.77	Professional		$43.99	$93.99	$134.77
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.32 / $24.19 / $34.20	Professional	26	$11.32	$24.19	$34.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.98 / $106.87 / $195.55	Professional		$60.98	$106.87	$195.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.51 / $23.72 / $35.03	Professional	26	$14.51	$23.72	$35.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $89.50 / $165.89	Professional		$50.36	$89.50	$165.89
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $12.96 / $22.98 / $42.69	Professional	26	$12.96	$22.98	$42.69
United Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $80.13 / $151.58	Professional		$60.34	$80.13	$151.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.63 / $16.42 / $33.22	Professional	26	$12.63	$16.42	$33.22
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $50.73 / $69.80 / $96.08	Professional		$50.73	$69.80	$96.08
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $9.43 / $11.32 / $15.27	Professional	26	$9.43	$11.32	$15.27