Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.86 / $276.17 / $276.17	Facility	26	$102.86	$276.17	$276.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $125.00 / $736.69	Professional	26	$90.00	$125.00	$736.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $218.16 / $218.16 / $218.16	Professional	26	$218.16	$218.16	$218.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.98 / $140.97 / $204.42	Professional	26	$65.98	$140.97	$204.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.27 / $154.63 / $202.96	Professional	26	$86.27	$154.63	$202.96
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $76.68 / $133.96 / $248.84	Professional	26	$76.68	$133.96	$248.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.51 / $88.75 / $136.83	Professional	26	$61.51	$88.75	$136.83
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $54.93 / $65.92 / $88.43	Professional	26	$54.93	$65.92	$88.43