Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.44 / $45.44 / $45.44	Facility	26	$45.44	$45.44	$45.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.31 / $99.47 / $108.54	Professional		$85.31	$99.47	$108.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.58 / $32.86 / $37.04	Professional	26	$28.58	$32.86	$37.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.01 / $76.01 / $76.01	Professional		$76.01	$76.01	$76.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.12 / $27.12 / $27.12	Professional	26	$27.12	$27.12	$27.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.69 / $141.41 / $229.29	Professional		$86.69	$141.41	$229.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.08 / $49.08 / $76.56	Professional	26	$30.08	$49.08	$76.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.57 / $144.51 / $245.68	Professional		$104.57	$144.51	$245.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.85 / $51.29 / $84.60	Professional	26	$35.85	$51.29	$84.60
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $97.52 / $153.44 / $306.30	Professional		$97.52	$153.44	$306.30
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $34.44 / $52.23 / $106.30	Professional	26	$34.44	$52.23	$106.30
United Facility/Professional Professional Modifier Low / Median / High Price $95.86 / $145.80 / $258.45	Professional		$95.86	$145.80	$258.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.69 / $51.15 / $93.29	Professional	26	$31.69	$51.15	$93.29
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $75.88 / $90.31 / $128.47	Professional		$75.88	$90.31	$128.47
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $25.55 / $30.66 / $44.30	Professional	26	$25.55	$30.66	$44.30