Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.91 / $337.15 / $337.15	Facility	26	$134.91	$337.15	$337.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.66 / $195.18 / $529.28	Professional		$140.66	$195.18	$529.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.53 / $92.57 / $240.72	Professional	26	$72.53	$92.57	$240.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.31 / $141.08 / $416.38	Professional		$133.31	$141.08	$416.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $68.44 / $100.10 / $286.14	Professional	26	$68.44	$100.10	$286.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.08 / $252.65 / $354.24	Professional		$172.08	$252.65	$354.24
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $86.37 / $126.80 / $177.78	Professional	26	$86.37	$126.80	$177.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.51 / $345.38 / $539.94	Professional		$226.51	$345.38	$539.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.08 / $168.39 / $267.72	Professional	26	$109.08	$168.39	$267.72
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $197.00 / $340.77 / $648.94	Professional		$197.00	$340.77	$648.94
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $98.87 / $173.65 / $305.16	Professional	26	$98.87	$173.65	$305.16
United Facility/Professional Professional Modifier Low / Median / High Price $206.02 / $245.24 / $416.48	Professional		$206.02	$245.24	$416.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.05 / $117.34 / $219.37	Professional	26	$95.05	$117.34	$219.37
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $140.18 / $168.22 / $247.28	Professional		$140.18	$168.22	$247.28
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $72.22 / $86.56 / $117.10	Professional	26	$72.22	$86.56	$117.10