Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $218.43 / $463.19	Facility	26	$125.00	$218.43	$463.19
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 $362.25 / $362.25 / $362.25	Professional	26	$362.25	$362.25	$362.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $234.28 / $339.70	Professional	26	$109.65	$234.28	$339.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $143.25 / $256.14 / $335.86	Professional	26	$143.25	$256.14	$335.86
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $127.43 / $222.61 / $413.51	Professional	26	$127.43	$222.61	$413.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $103.50 / $148.66 / $226.44	Professional	26	$103.50	$148.66	$226.44
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $92.00 / $110.40 / $148.11	Professional	26	$92.00	$110.40	$148.11