Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.14 / $217.58 / $217.58	Facility	26	$79.14	$217.58	$217.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.75 / $113.99 / $218.38	Professional		$107.75	$113.99	$218.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.77 / $171.44 / $248.58	Professional		$116.77	$171.44	$248.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.53 / $263.79 / $546.29	Professional		$154.53	$263.79	$546.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $133.68 / $231.24 / $440.36	Professional		$133.68	$231.24	$440.36
United Facility/Professional Professional Modifier Low / Median / High Price $163.28 / $185.43 / $597.12	Professional		$163.28	$185.43	$597.12
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $103.12 / $113.43 / $144.37	Professional		$103.12	$113.43	$144.37