Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.37 / $36.34 / $59.41	Facility	26	$19.37	$36.34	$59.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $73.88 / $135.77	Professional		$57.66	$73.88	$135.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.51 / $19.38 / $36.34	Professional	26	$17.51	$19.38	$36.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $240.41 / $240.41 / $240.41	Professional		$240.41	$240.41	$240.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $118.40 / $183.21	Professional		$71.16	$118.40	$183.21
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.44 / $29.80 / $45.79	Professional	26	$18.44	$29.80	$45.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.80 / $21.80 / $21.80	Facility	26	$21.80	$21.80	$21.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.63 / $117.74 / $210.79	Professional		$61.63	$117.74	$210.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.01 / $31.43 / $51.76	Professional	26	$22.01	$31.43	$51.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $81.47 / $128.01 / $251.46	Professional		$81.47	$128.01	$251.46
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $21.11 / $33.17 / $65.16	Professional	26	$21.11	$33.17	$65.16
United Facility/Professional Professional Modifier Low / Median / High Price $42.51 / $115.80 / $236.03	Professional		$42.51	$115.80	$236.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.11 / $29.33 / $66.54	Professional	26	$21.11	$29.33	$66.54
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $45.73 / $73.23 / $112.33	Professional		$45.73	$73.23	$112.33
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $15.28 / $18.34 / $24.55	Professional	26	$15.28	$18.34	$24.55