Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.80 / $186.73 / $186.73	Facility	26	$74.80	$186.73	$186.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.08 / $123.95 / $337.71	Professional		$95.08	$123.95	$337.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.86 / $98.86 / $164.77	Professional		$98.86	$98.86	$164.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.15 / $169.06 / $237.03	Professional		$115.15	$169.06	$237.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.55 / $214.81 / $359.63	Professional		$146.55	$214.81	$359.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $219.50 / $434.26	Professional		$131.83	$219.50	$434.26
United Facility/Professional Professional Modifier Low / Median / High Price $124.51 / $150.63 / $242.58	Professional		$124.51	$150.63	$242.58
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $93.71 / $112.45 / $165.30	Professional		$93.71	$112.45	$165.30