Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $138.04 / $181.97	Facility	26	$47.86	$138.04	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $457.09	Professional		$165.96	$213.80	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $57.54 / $138.04	Professional	26	$39.81	$57.54	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $331.13 / $446.68	Professional		$213.80	$331.13	$446.68
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $91.20 / $123.03	Professional	26	$57.54	$91.20	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $676.08	Professional		$251.19	$363.08	$676.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $97.72 / $173.78	Professional	26	$66.07	$97.72	$173.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $389.05 / $575.44	Professional		$245.47	$389.05	$575.44
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $104.71 / $154.88	Professional	26	$66.07	$104.71	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $302.00 / $575.44	Professional		$173.78	$302.00	$575.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $81.28 / $144.54	Professional	26	$47.86	$81.28	$144.54
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $44.67 / $44.67	Facility	26	$38.02	$44.67	$44.67