Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.90 / $32.90 / $32.90	Facility	26	$32.90	$32.90	$32.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.59 / $144.05 / $144.54	Professional		$137.59	$144.05	$144.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.05 / $24.41 / $26.01	Professional	26	$23.05	$24.41	$26.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.08 / $21.08 / $21.08	Professional	26	$21.08	$21.08	$21.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.41 / $158.91 / $247.35	Professional		$128.41	$158.91	$247.35
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.00 / $24.96 / $42.86	Professional	26	$22.00	$24.96	$42.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.84 / $269.36 / $390.78	Professional		$164.84	$269.36	$390.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $41.40 / $59.83	Professional	26	$25.12	$41.40	$59.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $160.34 / $284.35 / $528.17	Professional		$160.34	$284.35	$528.17
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $25.18 / $43.56 / $77.72	Professional	26	$25.18	$43.56	$77.72
United Facility/Professional Professional Modifier Low / Median / High Price $184.27 / $255.89 / $535.17	Professional		$184.27	$255.89	$535.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.41 / $40.34 / $84.42	Professional	26	$27.41	$40.34	$84.42
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $109.04 / $135.21 / $192.35	Professional		$109.04	$135.21	$192.35
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $18.85 / $22.60 / $35.97	Professional	26	$18.85	$22.60	$35.97