Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.83 / $28.83 / $28.83	Facility	26	$28.83	$28.83	$28.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.79 / $166.25 / $219.94	Professional		$83.79	$166.25	$219.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $17.87 / $37.96	Professional	26	$15.71	$17.87	$37.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.54 / $111.13 / $389.28	Professional		$83.54	$111.13	$389.28
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.61 / $32.89 / $45.78	Professional	26	$23.61	$32.89	$45.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.31 / $139.16 / $183.00	Professional		$95.31	$139.16	$183.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.14 / $31.56 / $56.45	Professional	26	$20.14	$31.56	$56.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $96.45 / $113.16 / $209.37	Professional		$96.45	$113.16	$209.37
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $30.09 / $35.29 / $69.40	Professional	26	$30.09	$35.29	$69.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $83.79 / $130.07 / $203.85	Professional		$83.79	$130.07	$203.85
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $28.83 / $42.27	Professional	26	$15.71	$28.83	$42.27
United Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $174.43 / $543.04	Professional		$75.06	$174.43	$543.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.48 / $27.82 / $60.04	Professional	26	$23.48	$27.82	$60.04