Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	26	$218.78	$218.78	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $398.11	Professional		$141.25	$165.96	$398.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $75.86 / $213.80	Professional	26	$61.66	$75.86	$213.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $223.87 / $223.87 / $223.87	Professional	26	$223.87	$223.87	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $309.03 / $446.68	Professional		$165.96	$309.03	$446.68
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $131.83 / $190.55	Professional	26	$67.61	$131.83	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $426.58	Professional		$165.96	$223.87	$426.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $102.33 / $177.83	Professional	26	$72.44	$102.33	$177.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $436.52	Professional		$169.82	$257.04	$436.52
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $104.71 / $177.83	Professional	26	$74.13	$104.71	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $457.09	Professional		$158.49	$239.88	$457.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $102.33 / $186.21	Professional	26	$72.44	$102.33	$186.21
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $48.98 / $83.18	Facility	26	$41.69	$48.98	$83.18