Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.47 / $219.27 / $219.27	Facility	26	$97.47	$219.27	$219.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.65 / $166.11 / $184.37	Professional		$143.65	$166.11	$184.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.79 / $69.59 / $79.40	Professional	26	$58.79	$69.59	$79.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.15 / $133.15 / $133.15	Professional		$133.15	$133.15	$133.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $213.62 / $213.62 / $213.62	Professional	26	$213.62	$213.62	$213.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.72 / $245.91 / $394.03	Professional		$150.72	$245.91	$394.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.69 / $105.54 / $164.64	Professional	26	$64.69	$105.54	$164.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.65 / $242.76 / $425.84	Professional		$179.65	$242.76	$425.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.50 / $106.59 / $179.75	Professional	26	$76.50	$106.59	$179.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $112.23 / $254.68 / $532.61	Professional		$112.23	$254.68	$532.61
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $74.06 / $114.68 / $228.59	Professional	26	$74.06	$114.68	$228.59
United Facility/Professional Professional Modifier Low / Median / High Price $164.86 / $241.92 / $420.38	Professional		$164.86	$241.92	$420.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.06 / $105.14 / $235.60	Professional	26	$74.06	$105.14	$235.60
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $126.44 / $151.72 / $223.04	Professional		$126.44	$151.72	$223.04
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $53.83 / $64.59 / $86.66	Professional	26	$53.83	$64.59	$86.66