Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	26	$147.91	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $229.09	Professional		$85.11	$114.82	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $38.90 / $85.11	Professional	26	$33.11	$38.90	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $275.42	Professional		$123.03	$177.83	$275.42
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $61.66 / $95.50	Professional	26	$40.74	$61.66	$95.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $50.12 / $50.12	Facility	26	$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $223.87 / $407.38	Professional		$138.04	$223.87	$407.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $81.28 / $117.49	Professional	26	$50.12	$81.28	$117.49
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $218.78 / $338.84	Professional		$138.04	$218.78	$338.84
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $72.44 / $107.15	Professional	26	$46.77	$72.44	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $407.38	Professional		$120.23	$194.98	$407.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $56.23 / $109.65	Professional	26	$40.74	$56.23	$109.65
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $29.51 / $29.51	Facility	26	$25.12	$29.51	$29.51