Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $216.00 / $451.25	Facility	26	$125.00	$216.00	$451.25
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 $87.60 / $359.98 / $359.98	Professional	26	$87.60	$359.98	$359.98
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.01 / $232.90 / $337.70	Professional	26	$109.01	$232.90	$337.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $142.35 / $254.65 / $332.85	Professional	26	$142.35	$254.65	$332.85
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $126.67 / $221.30 / $411.07	Professional	26	$126.67	$221.30	$411.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.93 / $148.04 / $382.52	Professional	26	$100.93	$148.04	$382.52
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $91.28 / $109.54 / $146.94	Professional	26	$91.28	$109.54	$146.94