Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.54 / $51.29 / $100.00	Facility	26	$27.54	$51.29	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $275.42	Professional		$85.11	$125.89	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $269.15	Professional		$131.83	$204.17	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $407.38	Professional		$141.25	$204.17	$407.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $363.08	Professional		$154.88	$245.47	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $331.13	Professional		$104.71	$173.78	$331.13
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $19.95 / $19.95	Facility	26	$16.98	$19.95	$19.95