Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $163.82 / $445.26 / $445.26	Facility	26	$163.82	$445.26	$445.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.45 / $117.03 / $342.19	Professional	26	$86.45	$117.03	$342.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $88.28 / $88.28 / $88.28	Professional	26	$88.28	$88.28	$88.28
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $105.45 / $154.82 / $224.48	Professional	26	$105.45	$154.82	$224.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $137.40 / $219.98 / $320.23	Professional	26	$137.40	$219.98	$320.23
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $120.77 / $214.54 / $397.66	Professional	26	$120.77	$214.54	$397.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $120.70 / $144.47 / $266.55	Professional	26	$120.70	$144.47	$266.55
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $87.52 / $105.02 / $140.90	Professional	26	$87.52	$105.02	$140.90