Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $208.93 / $208.93 / $208.93	Facility	26	$208.93	$208.93	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $281.84	Professional		$97.72	$123.03	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $181.97 / $281.84	Professional		$114.82	$181.97	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $524.81	Professional		$147.91	$251.19	$524.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $323.59	Professional		$131.83	$208.93	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $218.78 / $575.44	Professional		$134.90	$218.78	$575.44
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $38.90 / $38.90	Facility	26	$32.36	$38.90	$38.90