Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $45.71 / $45.71	Facility	26	$45.71	$45.71	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $204.17	Professional		$64.57	$81.28	$204.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $47.86 / $123.03	Professional	26	$38.90	$47.86	$123.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $186.21 / $275.42	Professional		$75.86	$186.21	$275.42
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $97.72 / $147.91	Professional	26	$40.74	$97.72	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $223.87	Professional		$85.11	$123.03	$223.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $74.13 / $120.23	Professional	26	$51.29	$74.13	$120.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $104.71 / $199.53	Professional		$66.07	$104.71	$199.53
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $64.57 / $109.65	Professional	26	$44.67	$64.57	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $114.82 / $223.87	Professional		$74.13	$114.82	$223.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $69.18 / $134.90	Professional	26	$44.67	$69.18	$134.90
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $30.90 / $52.48	Facility	26	$26.30	$30.90	$52.48