Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.89 / $242.84 / $363.93	Facility	26	$111.89	$242.84	$363.93
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $69.05 / $205.73 / $205.73	Facility	53	$69.05	$205.73	$205.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.33 / $337.27 / $918.59	Professional		$308.33	$337.27	$918.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.33 / $115.00 / $266.38	Professional	26	$104.33	$115.00	$266.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $116.74 / $140.09 / $333.71	Professional	26	$116.74	$140.09	$333.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.46 / $486.35 / $839.95	Professional		$225.46	$486.35	$839.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.92 / $212.28 / $366.12	Professional	26	$100.92	$212.28	$366.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.20 / $471.58 / $722.47	Professional		$299.20	$471.58	$722.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $129.93 / $196.79 / $301.58	Professional	26	$129.93	$196.79	$301.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $258.10 / $446.46 / $850.21	Professional		$258.10	$446.46	$850.21
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $115.53 / $199.84 / $380.57	Professional	26	$115.53	$199.84	$380.57
United Facility/Professional Professional Modifier Low / Median / High Price $285.76 / $430.00 / $771.93	Professional		$285.76	$430.00	$771.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $113.65 / $171.67 / $341.12	Professional	26	$113.65	$171.67	$341.12
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $215.14 / $264.02 / $370.43	Professional		$215.14	$264.02	$370.43
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $84.38 / $101.96 / $135.85	Professional	26	$84.38	$101.96	$135.85