Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.31 / $53.31 / $53.31	Facility	26	$53.31	$53.31	$53.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.19 / $82.04 / $118.30	Professional		$71.19	$82.04	$118.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.72 / $36.56 / $52.87	Professional	26	$32.72	$36.56	$52.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $354.90 / $354.90 / $354.90	Professional	50	$354.90	$354.90	$354.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.81 / $92.81 / $191.42	Professional		$92.81	$92.81	$191.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.89 / $33.89 / $33.89	Professional	26	$33.89	$33.89	$33.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $114.95 / $185.33	Professional		$78.93	$114.95	$185.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.26 / $51.35 / $76.27	Professional	26	$35.26	$51.35	$76.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.44 / $136.68 / $251.42	Professional		$95.44	$136.68	$251.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.04 / $59.50 / $107.92	Professional	26	$42.04	$59.50	$107.92
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $84.95 / $142.69 / $278.87	Professional		$84.95	$142.69	$278.87
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $40.36 / $67.20 / $124.57	Professional	26	$40.36	$67.20	$124.57
United Facility/Professional Professional Modifier Low / Median / High Price $90.35 / $130.44 / $289.54	Professional		$90.35	$130.44	$289.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.24 / $65.25 / $129.30	Professional	26	$42.24	$65.25	$129.30
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $67.68 / $81.22 / $119.39	Professional		$67.68	$81.22	$119.39
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $29.21 / $35.01 / $47.36	Professional	26	$29.21	$35.01	$47.36