Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $97.72 / $97.72	Facility	26	$97.72	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $269.15	Professional		$83.18	$123.03	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $257.04	Professional		$131.83	$194.98	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $389.05	Professional		$147.91	$199.53	$389.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $239.88 / $354.81	Professional		$154.88	$239.88	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $331.13	Professional		$123.03	$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