Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	26	$89.13	$89.13	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $275.42	Professional		$93.33	$128.82	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $21.88 / $50.12	Professional	26	$18.62	$21.88	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $275.42	Professional		$131.83	$208.93	$275.42
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $35.48 / $51.29	Professional	26	$22.91	$35.48	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $407.38	Professional		$141.25	$204.17	$407.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $46.77 / $69.18	Professional	26	$27.54	$46.77	$69.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $363.08	Professional		$151.36	$239.88	$363.08
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $40.74 / $60.26	Professional	26	$26.30	$40.74	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $173.78 / $331.13	Professional		$109.65	$173.78	$331.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $32.36 / $61.66	Professional	26	$23.99	$32.36	$61.66
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $17.38 / $17.38	Facility	26	$14.79	$17.38	$17.38