Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.48 / $99.72 / $99.72	Facility	26	$28.48	$99.72	$99.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.59 / $119.53 / $137.44	Professional		$89.59	$119.53	$137.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.90 / $25.03 / $33.40	Professional	26	$20.90	$25.03	$33.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.48 / $158.26 / $219.94	Professional		$104.48	$158.26	$219.94
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.44 / $43.22 / $61.12	Professional	26	$29.44	$43.22	$61.12
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $156.72 / $235.83 / $325.38	Professional	50	$156.72	$235.83	$325.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $229.94 / $373.40	Professional		$139.19	$229.94	$373.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.65 / $53.98 / $90.74	Professional	26	$36.65	$53.98	$90.74
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $119.61 / $212.57 / $394.01	Professional		$119.61	$212.57	$394.01
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $33.70 / $58.29 / $111.01	Professional	26	$33.70	$58.29	$111.01
United Facility/Professional Professional Modifier Low / Median / High Price $132.25 / $178.18 / $294.83	Professional		$132.25	$178.18	$294.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.33 / $37.15 / $71.41	Professional	26	$26.33	$37.15	$71.41
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $102.32 / $128.13 / $193.51	Professional		$102.32	$128.13	$193.51
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $22.06 / $25.95 / $35.77	Professional	26	$22.06	$25.95	$35.77