Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.49 / $147.66 / $147.66	Facility	26	$59.49	$147.66	$147.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $106.06 / $131.82	Professional		$76.23	$106.06	$131.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.93 / $35.29 / $52.93	Professional	26	$31.93	$35.29	$52.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.39 / $157.66 / $228.62	Professional		$107.39	$157.66	$228.62
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.17 / $56.04 / $81.25	Professional	26	$38.17	$56.04	$81.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.31 / $50.31 / $50.31	Facility	26	$50.31	$50.31	$50.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.90 / $244.15 / $364.36	Professional		$137.90	$244.15	$364.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.89 / $79.95 / $119.09	Professional	26	$49.89	$79.95	$119.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $122.94 / $212.66 / $404.98	Professional		$122.94	$212.66	$404.98
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $43.70 / $77.66 / $143.94	Professional	26	$43.70	$77.66	$143.94
United Facility/Professional Professional Modifier Low / Median / High Price $134.62 / $173.32 / $411.63	Professional		$134.62	$173.32	$411.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.69 / $56.77 / $115.41	Professional	26	$40.69	$56.77	$115.41
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $85.22 / $115.05 / $161.41	Professional		$85.22	$115.05	$161.41
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $32.57 / $38.72 / $52.82	Professional	26	$32.57	$38.72	$52.82