Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $140.57 / $212.14 / $212.14	Facility	26	$140.57	$212.14	$212.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.32 / $209.52 / $649.79	Professional		$117.32	$209.52	$649.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.19 / $56.08 / $145.75	Professional	26	$41.19	$56.08	$145.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.80 / $213.00 / $298.14	Professional	26	$75.80	$213.00	$298.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.61 / $243.15 / $348.65	Professional		$165.61	$243.15	$348.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $90.57 / $132.97 / $187.71	Professional	26	$90.57	$132.97	$187.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.33 / $353.33 / $593.76	Professional		$212.33	$353.33	$593.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.67 / $134.19 / $274.98	Professional	26	$76.67	$134.19	$274.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $189.59 / $327.95 / $624.53	Professional		$189.59	$327.95	$624.53
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $105.25 / $184.26 / $341.53	Professional	26	$105.25	$184.26	$341.53
United Facility/Professional Professional Modifier Low / Median / High Price $230.60 / $320.26 / $674.54	Professional		$230.60	$320.26	$674.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.58 / $125.67 / $368.88	Professional	26	$55.58	$125.67	$368.88
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $145.10 / $197.81 / $274.82	Professional		$145.10	$197.81	$274.82
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $52.31 / $75.00 / $112.50	Professional	26	$52.31	$75.00	$112.50