Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.39 / $131.55 / $131.55	Facility	26	$72.39	$131.55	$131.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.95 / $113.48 / $351.22	Professional		$90.95	$113.48	$351.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.59 / $32.40 / $90.09	Professional	26	$25.59	$32.40	$90.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.61 / $38.97 / $38.97	Professional	26	$37.61	$38.97	$38.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.86 / $151.02 / $216.54	Professional		$102.86	$151.02	$216.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.58 / $68.39 / $96.54	Professional	26	$46.58	$68.39	$96.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.90 / $216.00 / $335.31	Professional		$132.90	$216.00	$335.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.50 / $74.95 / $144.54	Professional	26	$48.50	$74.95	$144.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $117.76 / $203.70 / $387.91	Professional		$117.76	$203.70	$387.91
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $53.32 / $94.56 / $175.64	Professional	26	$53.32	$94.56	$175.64
United Facility/Professional Professional Modifier Low / Median / High Price $83.35 / $140.47 / $298.58	Professional		$83.35	$140.47	$298.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.61 / $46.37 / $93.83	Professional	26	$34.61	$46.37	$93.83
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $86.08 / $103.30 / $154.13	Professional		$86.08	$103.30	$154.13
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $26.41 / $32.40 / $42.52	Professional	26	$26.41	$32.40	$42.52