Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.16 / $149.12 / $149.12	Facility	26	$63.16	$149.12	$149.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.03 / $95.37 / $124.91	Professional		$70.03	$95.37	$124.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.45 / $36.57 / $53.15	Professional	26	$31.45	$36.57	$53.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.36 / $159.09 / $224.98	Professional		$108.36	$159.09	$224.98
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.43 / $59.36 / $83.94	Professional	26	$40.43	$59.36	$83.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.18 / $216.82 / $333.93	Professional		$135.18	$216.82	$333.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.41 / $82.72 / $123.16	Professional	26	$50.41	$82.72	$123.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $124.05 / $214.58 / $408.63	Professional		$124.05	$214.58	$408.63
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $46.29 / $80.06 / $152.47	Professional	26	$46.29	$80.06	$152.47
United Facility/Professional Professional Modifier Low / Median / High Price $127.14 / $151.09 / $246.31	Professional		$127.14	$151.09	$246.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.95 / $56.78 / $112.94	Professional	26	$40.95	$56.78	$112.94
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $85.44 / $93.98 / $119.62	Professional		$85.44	$93.98	$119.62
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $32.50 / $36.01 / $39.29	Professional	26	$32.50	$36.01	$39.29