Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $69.18 / $69.18	Facility	26	$69.18	$69.18	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $53.70 / $165.96	Professional		$34.67	$53.70	$165.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $25.12 / $67.61	Professional	26	$19.95	$25.12	$67.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $61.66 / $61.66	Professional	26	$61.66	$61.66	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $128.82 / $186.21	Professional		$51.29	$128.82	$186.21
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $51.29 / $77.62	Professional	26	$21.88	$51.29	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $77.62 / $154.88	Professional		$51.29	$77.62	$154.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $38.90 / $63.10	Professional	26	$25.12	$38.90	$63.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $79.43 / $134.90	Professional		$44.67	$79.43	$134.90
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $33.11 / $61.66	Professional	26	$23.99	$33.11	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $72.44 / $141.25	Professional		$44.67	$72.44	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $36.31 / $66.07	Professional	26	$22.91	$36.31	$66.07
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $16.22 / $27.54	Facility	26	$13.80	$16.22	$27.54