Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	26	$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $114.82 / $154.88	Professional	26	$28.18	$114.82	$154.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $39.81 / $39.81	Professional	26	$39.81	$39.81	$39.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $58.88 / $87.10	Professional	26	$28.84	$58.88	$87.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $64.57 / $85.11	Professional	26	$36.31	$64.57	$85.11
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $54.95 / $89.13	Professional	26	$32.36	$54.95	$89.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $38.90 / $72.44	Professional	26	$31.62	$38.90	$72.44