Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $199.53 / $363.08	Facility	26	$112.20	$199.53	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $338.84 / $660.69	Professional		$245.47	$338.84	$660.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $147.91 / $338.84	Professional	26	$100.00	$147.91	$338.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $123.03 / $331.13	Professional	26	$97.72	$123.03	$331.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $602.56 / $851.14	Professional		$239.88	$602.56	$851.14
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $269.15 / $380.19	Professional	26	$104.71	$269.15	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $457.09 / $724.44	Professional		$288.40	$457.09	$724.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $190.55 / $309.03	Professional	26	$123.03	$190.55	$309.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $645.65	Professional		$281.84	$426.58	$645.65
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $186.21 / $281.84	Professional	26	$123.03	$186.21	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $416.87 / $776.25	Professional		$263.03	$416.87	$776.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $177.83 / $331.13	Professional	26	$114.82	$177.83	$331.13