Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.65 / $57.46 / $57.46	Facility	26	$22.65	$57.46	$57.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.51 / $83.19 / $100.01	Professional		$59.51	$83.19	$100.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.81 / $13.12 / $18.42	Professional	26	$11.81	$13.12	$18.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.63 / $146.27 / $206.85	Professional		$99.63	$146.27	$206.85
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.56 / $21.37 / $30.22	Professional	26	$14.56	$21.37	$30.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.31 / $172.68 / $316.87	Professional		$105.31	$172.68	$316.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.70 / $29.74 / $44.37	Professional	26	$18.70	$29.74	$44.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $114.05 / $202.69 / $375.69	Professional		$114.05	$202.69	$375.69
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $16.66 / $28.82 / $54.88	Professional	26	$16.66	$28.82	$54.88
United Facility/Professional Professional Modifier Low / Median / High Price $75.44 / $115.64 / $212.21	Professional		$75.44	$115.64	$212.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.34 / $18.98 / $41.05	Professional	26	$15.34	$18.98	$41.05
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $71.29 / $78.42 / $99.81	Professional		$71.29	$78.42	$99.81
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $11.26 / $12.47 / $13.61	Professional	26	$11.26	$12.47	$13.61