Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.37 / $66.37 / $122.42	Facility	26	$66.37	$66.37	$122.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.20 / $120.87 / $162.01	Professional		$103.20	$120.87	$162.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.41 / $66.37 / $93.86	Professional	26	$57.41	$66.37	$93.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.78 / $152.29 / $258.02	Professional		$108.78	$152.29	$258.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $59.94 / $59.94 / $59.94	Professional	26	$59.94	$59.94	$59.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $118.49 / $180.31	Professional		$106.74	$118.49	$180.31
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.93 / $67.14 / $105.03	Professional	26	$61.93	$67.14	$105.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.65 / $199.54 / $332.84	Professional		$128.65	$199.54	$332.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.51 / $113.70 / $190.48	Professional	26	$74.51	$113.70	$190.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $116.09 / $199.06 / $377.17	Professional		$116.09	$199.06	$377.17
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $71.47 / $117.57 / $220.59	Professional	26	$71.47	$117.57	$220.59
United Facility/Professional Professional Modifier Low / Median / High Price $136.57 / $194.85 / $413.75	Professional		$136.57	$194.85	$413.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.92 / $107.43 / $228.09	Professional	26	$71.92	$107.43	$228.09
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $96.36 / $115.63 / $169.98	Professional		$96.36	$115.63	$169.98
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $52.35 / $62.30 / $92.35	Professional	26	$52.35	$62.30	$92.35