Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.90 / $152.51 / $152.51	Facility	26	$72.90	$152.51	$152.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.71 / $111.07 / $163.07	Professional		$90.71	$111.07	$163.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.37 / $120.37 / $120.37	Professional		$120.37	$120.37	$120.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.07 / $155.93 / $251.85	Professional		$107.07	$155.93	$251.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.70 / $194.99 / $336.92	Professional		$119.70	$194.99	$336.92
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $115.95 / $192.83 / $378.31	Professional		$115.95	$192.83	$378.31
United Facility/Professional Professional Modifier Low / Median / High Price $122.70 / $180.14 / $410.31	Professional		$122.70	$180.14	$410.31
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $78.28 / $110.31 / $169.20	Professional		$78.28	$110.31	$169.20