Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $163.38 / $163.38 / $163.38	Facility	26	$163.38	$163.38	$163.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.67 / $133.60 / $362.56	Professional		$87.67	$133.60	$362.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.95 / $64.78 / $163.38	Professional	26	$40.95	$64.78	$163.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.54 / $162.74 / $242.53	Professional		$95.54	$162.74	$242.53
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.96 / $86.09 / $127.20	Professional	26	$44.96	$86.09	$127.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.78 / $186.93 / $260.60	Professional		$117.78	$186.93	$260.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.26 / $99.62 / $135.01	Professional	26	$61.26	$99.62	$135.01
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $98.13 / $194.67 / $323.25	Professional		$98.13	$194.67	$323.25
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $51.47 / $102.11 / $169.55	Professional	26	$51.47	$102.11	$169.55
United Facility/Professional Professional Modifier Low / Median / High Price $110.76 / $161.66 / $239.90	Professional		$110.76	$161.66	$239.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.88 / $77.39 / $136.19	Professional	26	$62.88	$77.39	$136.19
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $70.36 / $89.54	Professional		$63.96	$70.36	$89.54
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $35.34 / $39.15 / $49.84	Professional	26	$35.34	$39.15	$49.84