Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.70 / $284.56 / $284.56	Facility	26	$114.70	$284.56	$284.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.03 / $171.34 / $476.35	Professional		$130.03	$171.34	$476.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.40 / $71.78 / $199.54	Professional	26	$57.40	$71.78	$199.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.82 / $130.82 / $130.82	Professional		$130.82	$130.82	$130.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.50 / $188.48 / $298.79	Professional		$169.50	$188.48	$298.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.43 / $80.62 / $123.31	Professional	26	$73.43	$80.62	$123.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.20 / $317.39 / $535.85	Professional		$206.20	$317.39	$535.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.67 / $139.87 / $226.45	Professional	26	$91.67	$139.87	$226.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $194.04 / $325.14 / $598.90	Professional		$194.04	$325.14	$598.90
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $84.06 / $147.63 / $259.45	Professional	26	$84.06	$147.63	$259.45
United Facility/Professional Professional Modifier Low / Median / High Price $182.05 / $220.86 / $387.80	Professional		$182.05	$220.86	$387.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.59 / $100.64 / $173.57	Professional	26	$76.59	$100.64	$173.57
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $139.68 / $166.52 / $246.40	Professional		$139.68	$166.52	$246.40
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $59.87 / $71.77 / $97.10	Professional	26	$59.87	$71.77	$97.10