Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $178.37 / $178.37 / $178.37	Facility	26	$178.37	$178.37	$178.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.23 / $371.76 / $395.99	Professional		$289.23	$371.76	$395.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.74 / $667.23 / $967.48	Professional		$292.74	$667.23	$967.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.41 / $1,014.85 / $1,466.72	Professional		$606.41	$1,014.85	$1,466.72
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $520.27 / $907.43 / $1,605.81	Professional		$520.27	$907.43	$1,605.81
United Facility/Professional Professional Modifier Low / Median / High Price $490.88 / $708.90 / $1,261.17	Professional		$490.88	$708.90	$1,261.17
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $242.29 / $266.52 / $339.21	Professional		$242.29	$266.52	$339.21