Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $151.61 / $407.58 / $407.58	Facility	26	$151.61	$407.58	$407.58
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 $321.55 / $321.55 / $321.55	Professional	26	$321.55	$321.55	$321.55
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.36 / $208.02 / $301.62	Professional	26	$97.36	$208.02	$301.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $127.16 / $229.64 / $298.81	Professional	26	$127.16	$229.64	$298.81
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $113.14 / $197.66 / $367.16	Professional	26	$113.14	$197.66	$367.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $92.23 / $133.80 / $567.80	Professional	26	$92.23	$133.80	$567.80
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $80.84 / $89.57 / $97.72	Professional	26	$80.84	$89.57	$97.72